Individual provider Active NPI

Robert Joseph Crochet II, RPH

  • Oncology Pharmacist
  • Slidell, LA
National Provider Identifier
1659972578
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology PharmacistTaxonomy code 1835X0200X
License
PST.0013817 Issued in LA
Practice address
1120 Robert Blvd Ste 254
Slidell, LA 70458-2069
Phone
(985) 280-6617
Fax
(985) 280-6640
NPI assigned
Nov 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Pharmacist 1835X0200X PST.0013817 LA Primary

Addresses

Primary practice location

1120 Robert Blvd Ste 254
Slidell, LA 70458-2069

Mailing address

1120 Robert Blvd Ste 254
Slidell, LA 70458-2069
Phone (985) 280-6617

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

LicenseStateTypeSpecialty
PST.0013817LAMDOncology Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1659972578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 ROBERT BLVD STE 254",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582069",
            "telephone_number": "985-280-6617",
            "fax_number": "985-280-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 ROBERT BLVD STE 254",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582069",
            "telephone_number": "985-280-6617",
            "fax_number": "985-280-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCHET",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "LA",
            "license": "PST.0013817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.