Active NPI
Matthew Benson Plaisance, RPH, BCNP
- Pharmacist
- New Orleans, LA
National Provider Identifier
1255606026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15243
- Practice address
- 8138 Oak St
New Orleans, LA 70118 - Phone
- (504) 324-4343
- NPI assigned
- Mar 13, 2012
- Last updated
- Jun 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12258 | MS | |
| Pharmacist | 183500000X | 10088 | SC | |
| Pharmacist | 183500000X | 11975 | NC | |
| Pharmacist | 183500000X | 15243 | LA | Primary |
| Nuclear Pharmacist | 1835N0905X | 15243 | LA |
Addresses
Primary practice location
8138 Oak St
New Orleans, LA 70118
Mailing address
1640 S Carrollton Ave
New Orleans, LA 70118-2826
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11975 | NC | MD | Dentist |
| 15243 | LA | MD | Nuclear Pharmacist |
| 12258 | MS | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MBP Group, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Crescent City Apothecary
- Community/Retail Pharmacy
- New Orleans, LA
- NPI 1932501038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1255606026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 S CARROLLTON AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701182826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8138 OAK ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70118",
"telephone_number": "504-324-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAISANCE",
"first_name": "MATTHEW",
"middle_name": "BENSON",
"credential": "RPH, BCNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-13",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "12258",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "10088",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "11975",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "15243",
"primary": true
},
{
"code": "1835N0905X",
"taxonomy_group": "",
"desc": "Pharmacist, Nuclear",
"state": "LA",
"license": "15243",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.