Individual provider Active NPI

Behrang Kian Foroughian, PHARM D

  • Pharmacist
  • Baton Rouge, LA
National Provider Identifier
1760123129
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PST.024250 Issued in LA
Practice address
234 Highland Trace Dr
Baton Rouge, LA 70810-5058
Phone
(225) 810-1295
NPI assigned
Apr 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.024250 LA Primary

Addresses

Primary practice location

234 Highland Trace Dr
Baton Rouge, LA 70810-5058

Mailing address

105 W Highway 30
Gonzales, LA 70737-4802
Phone (225) 644-0434

Other identifiers 1

IdentifierTypeStateIssuer
1760123129MedicaidLA

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PST.024250LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co. CurrentSince Apr 10, 2022 Accepting new patients
Walgreen Co PastSince Apr 10, 2022 Accepting new patients

Locations

105 W Highway 30
Gonzales, LA 70737
Phone (225) 644-0434

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1760123129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W HIGHWAY 30",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374802",
            "telephone_number": "225-644-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 HIGHLAND TRACE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708105058",
            "telephone_number": "225-810-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOROUGHIAN",
        "first_name": "BEHRANG",
        "middle_name": "KIAN",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.024250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760123129",
            "state": "LA"
        }
    ],
    "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 Jan 19, 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.

Verify at the official NPI Registry.