Active NPI
David Deshotels Sr., PD
- Pharmacotherapy Pharmacist
- Baton Rouge, LA
National Provider Identifier
1609268564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 014167
- Practice address
- 5330 Dijon Dr Ste D
Baton Rouge, LA 70808-7214 - Phone
- (225) 330-6630
- Fax
- (225) 308-2142
- NPI assigned
- Mar 2, 2015
- Last updated
- Mar 2, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 014167 | LA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 014167 | LA | |
| Pharmacotherapy Pharmacist | 1835P1200X | 014167 | LA | Primary |
Addresses
Primary practice location
5330 Dijon Dr Ste D
Baton Rouge, LA 70808-7214
Mailing address
5330 Dijon Dr Ste C
Baton Rouge, LA 70808-7215
Phone (225) 330-6630
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 |
|---|---|---|---|
| 014167 | LA | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abp Diagnostics, LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425254400000",
"number": "1609268564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5330 DIJON DR STE C",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708087215",
"telephone_number": "225-330-6630",
"fax_number": "225-308-2142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5330 DIJON DR STE D",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708087214",
"telephone_number": "225-330-6630",
"fax_number": "225-308-2142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESHOTELS",
"first_name": "DAVID",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "PD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-02",
"last_updated": "2015-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "014167",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "LA",
"license": "014167",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "LA",
"license": "014167",
"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 Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.