Active NPI
Aksana Petrovna Tsisinevich
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1457874067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 003432
- Practice address
- 9983 Bluebonnet Blvd
Baton Rouge, LA 70810-6458 - Phone
- (225) 769-4208
- NPI assigned
- Jul 25, 2017
- Sex
- Female
- 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 | 003432 | LA | Primary |
Addresses
Primary practice location
9983 Bluebonnet Blvd
Baton Rouge, LA 70810-6458
Mailing address
355 S Club Ave
Saint Gabriel, LA 70776-4440
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003432 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500940800000",
"number": "1457874067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 S CLUB AVE",
"city": "SAINT GABRIEL",
"state": "LA",
"postal_code": "707764440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9983 BLUEBONNET BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708106458",
"telephone_number": "225-769-4208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSISINEVICH",
"first_name": "AKSANA",
"middle_name": "PETROVNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2017-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "003432",
"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 Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.