Gervis Joseph Roberie II, PD

Primary specialty

PharmacistTaxonomy code 183500000X

License

9293 Issued in LA

Practice address

4510 Ambassador Caffery PKW
118 Garrigue Dr
Lafayette, LA 70508-6887

Phone

(337) 988-7290

Fax

(337) 993-0266

NPI assigned

Mar 17, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Gervis Joseph Roberie II Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1295034155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 AMBASSADOR CAFFERY PKW",
            "address_2": "118 GARRIGUE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086887",
            "telephone_number": "337-948-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 AMBASSADOR CAFFERY PKW",
            "address_2": "118 GARRIGUE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086887",
            "telephone_number": "337-988-7290",
            "fax_number": "337-993-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERIE",
        "first_name": "GERVIS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "9293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERVIS",
            "last_name": "ROBERIE",
            "middle_name": "JOSEPH",
            "prefix": "DR.",
            "suffix": "II",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Alicia Talley Roberts, BCBA, LBA-507

• All providers in Lafayette, LA
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.