Active NPI
Robert Glenn Aucoin, PHARM D
- Pharmacotherapy Pharmacist
- Baton Rouge, LA
National Provider Identifier
1508080466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 11290
- Practice address
- 5000 Hennessy Blvd
Pharmacy Department
Baton Rouge, LA 70808-4375 - Phone
- (225) 765-7652
- Fax
- (225) 765-8410
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 11290 | LA | Primary |
Addresses
Primary practice location
5000 Hennessy Blvd
Pharmacy Department
Baton Rouge, LA 70808-4375
Mailing address
10240 Hackberry Dr
Baton Rouge, LA 70809-2824
Phone (225) 293-3712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11290 | Other | LA | PHARMACY CERTIFICATE |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11290 | LA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508080466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10240 HACKBERRY DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708092824",
"telephone_number": "225-293-3712",
"fax_number": "225-765-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 HENNESSY BLVD",
"address_2": "PHARMACY DEPARTMENT",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084375",
"telephone_number": "225-765-7652",
"fax_number": "225-765-8410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUCOIN",
"first_name": "ROBERT",
"middle_name": "GLENN",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "LA",
"license": "11290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY CERTIFICATE",
"identifier": "11290",
"state": "LA"
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.