Individual provider Active NPI

Kevin Paul Robichaux, RPH

  • Pharmacist
  • Alexandria, LA
National Provider Identifier
1356924864
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PST.015223 Issued in LA
Practice address
180 Windermere Blvd
Alexandria, LA 71303-3535
Phone
(318) 445-8770
Fax
(318) 445-8979
NPI assigned
May 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.015223 LA Primary

Addresses

Primary practice location

180 Windermere Blvd
Alexandria, LA 71303-3535

Mailing address

180 Windermere Blvd
Alexandria, LA 71303-3535
Phone (318) 445-8770

Other identifiers 1

IdentifierTypeStateIssuer
PST.015223OtherLALOUISIANA BOARD OF PHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.fusioncarepharmacy.com

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

LicenseStateTypeSpecialty
PST.015223LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CCC Pharmacy, LLC CurrentSince May 9, 2021 Accepting new patients
CCC Pharmacy LLC CurrentSince May 9, 2021 Accepting new patients
CCMS Pharmacy LLC Current Accepting new patients

Locations

180 Windermere Blvd
Alexandria, LA 71303
Phone (318) 445-8770

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1356924864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033535",
            "telephone_number": "318-445-8770",
            "fax_number": "318-445-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033535",
            "telephone_number": "318-445-8770",
            "fax_number": "318-445-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBICHAUX",
        "first_name": "KEVIN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.015223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA BOARD OF PHARMACY",
            "identifier": "PST.015223",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.fusioncarepharmacy.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "180 Windermere Blvd",
            "city": "Alexandria",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713033535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.