Active NPI
Louis Booysen
- Pharmacist
- College Station, TX
National Provider Identifier
1750166419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72948
- Practice address
- 998 William D Fitch Pkwy
College Station, TX 77845-6452 - Phone
- (979) 690-0523
- NPI assigned
- Aug 30, 2023
- Last updated
- Aug 30, 2023
- 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 | 72948 | TX | Primary |
Addresses
Primary practice location
998 William D Fitch Pkwy
College Station, TX 77845-6452
Mailing address
950 Town Lake Dr Apt 7307
College Station, TX 77845-2254
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 |
|---|---|---|---|
| 72948 | TX | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
998 William D Fitch Pkwy
College Station, TX 77845
Phone (979) 690-0523
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": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1750166419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 TOWN LAKE DR APT 7307",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778452254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "998 WILLIAM D FITCH PKWY",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778456452",
"telephone_number": "979-690-0523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOYSEN",
"first_name": "LOUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-30",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "72948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.