Individual provider Active NPI

Treavor T. Riley, PHARM.D.,BCPS

  • Pharmacotherapy Pharmacist
  • Baton Rouge, LA
National Provider Identifier
1235374646
Registry record updated Dec 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
018424 Issued in LA
Practice address
3600 Florida Blvd
Department of Pharmacy
Baton Rouge, LA 70806-3842
Phone
(225) 346-5957
NPI assigned
Dec 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 018424 LA
Pharmacotherapy Pharmacist 1835P1200X 018424 LA Primary

Addresses

Primary practice location

3600 Florida Blvd
Department of Pharmacy
Baton Rouge, LA 70806-3842

Mailing address

3849 North Blvd
Ulm College of Pharmacy
Baton Rouge, LA 70806-3854
Phone (225) 346-5957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
018424LAMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1229212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229212800000",
    "number": "1235374646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 NORTH BLVD",
            "address_2": "ULM COLLEGE OF PHARMACY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063854",
            "telephone_number": "225-346-5957",
            "fax_number": "225-219-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FLORIDA BLVD",
            "address_2": "DEPARTMENT OF PHARMACY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063842",
            "telephone_number": "225-346-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "TREAVOR",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.,BCPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-14",
        "last_updated": "2008-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "LA",
            "license": "018424",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "LA",
            "license": "018424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 14, 2008; 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.