Active NPI
Bert Blanchard, R.PH
- Pharmacist
- Gonzales, LA
National Provider Identifier
1518337963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 016926
- Practice address
- 6473 Highway 44 Ste 101
Gonzales, LA 70737-8179 - Phone
- (225) 257-1009
- Fax
- (225) 257-1017
- NPI assigned
- Sep 28, 2015
- Last updated
- May 9, 2019
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 016926 | LA | Primary |
Addresses
Primary practice location
6473 Highway 44 Ste 101
Gonzales, LA 70737-8179
Mailing address
6431 Highway 44
Gonzales, LA 70737-8158
Phone (225) 257-1009
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 |
|---|---|---|---|
| 016926 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupre of Gonzales LLC | Current | Accepting new patients | |
| Dupre of Gonzales LLC | Current | Accepting new patients |
Locations
6473 Highway 44
Ste 101
Gonzales, LA 70737
Phone (225) 257-1009
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1518337963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 HIGHWAY 44",
"city": "GONZALES",
"state": "LA",
"postal_code": "707378158",
"telephone_number": "225-257-1009",
"fax_number": "225-257-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6473 HIGHWAY 44 STE 101",
"city": "GONZALES",
"state": "LA",
"postal_code": "707378179",
"telephone_number": "225-257-1009",
"fax_number": "225-257-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHARD",
"first_name": "BERT",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-28",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "016926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.