Organization Active NPI

Louisiana State University

  • Community/Retail Pharmacy
  • Baton Rouge, LA
National Provider Identifier
1225512767
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LOUISIANA STATE UNIVERSITY
Practice address
1 North Stadium Drive
Broussard Center for Athletic Training
Baton Rouge, LA 70803
Phone
(225) 578-0681
Fax
(225) 578-3924
NPI assigned
Sep 20, 2018
Organization subpart
Yes
Parent organization
LOUISIANA STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Toni D Scott, PHARMD
Title
Pharmacist-in-Charge
Phone
(225) 485-3444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1 North Stadium Drive
Broussard Center for Athletic Training
Baton Rouge, LA 70803

Mailing address

1 North Stadium Drive
Broussard Center for Athletic Training
Baton Rouge, LA 70803
Phone (225) 578-0681

Other names 1

  • LSU Athletic Department Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lsu Speech Language and Hearing Clinic5 organizations share this tax ID, including this one
Part of
Lsu Speech Language and Hearing Clinic

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 N Stadium Dr
Baton Rouge, LA 70803
Phone (225) 510-5102

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1225512767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORTH STADIUM DRIVE",
            "address_2": "BROUSSARD CENTER FOR ATHLETIC TRAINING",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70803",
            "telephone_number": "225-578-0681",
            "fax_number": "225-578-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTH STADIUM DRIVE",
            "address_2": "BROUSSARD CENTER FOR ATHLETIC TRAINING",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70803",
            "telephone_number": "225-578-0681",
            "fax_number": "225-578-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUISIANA STATE UNIVERSITY",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "225-485-3444",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LSU Athletic Department Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.