Active NPI
Courtney Michael Villavasso Sr., RPH
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1417224478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14546
- Practice address
- 6800 Greenwell Springs Rd
Baton Rouge, LA 70805-7436 - Phone
- (225) 216-9442
- NPI assigned
- Nov 18, 2011
- Last updated
- Nov 18, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14546 | LA | Primary |
Addresses
Primary practice location
6800 Greenwell Springs Rd
Baton Rouge, LA 70805-7436
Mailing address
4640 San Marco Rd
New Orleans, LA 70129-2635
Phone (281) 725-4985
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 |
|---|---|---|---|
| 14546 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1417224478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4640 SAN MARCO RD",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701292635",
"telephone_number": "281-725-4985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 GREENWELL SPRINGS RD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708057436",
"telephone_number": "225-216-9442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAVASSO",
"first_name": "COURTNEY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-18",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "14546",
"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 Nov 18, 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.