Individual provider Active NPI

David Deshotels Sr., PD

  • Pharmacotherapy Pharmacist
  • Baton Rouge, LA
National Provider Identifier
1609268564
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
014167 Issued in LA
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
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
014167LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.