Active NPI
Robert Charles Deveer Jr.
- Pharmacist
- Prairieville, LA
National Provider Identifier
1780394585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 014180
- Practice address
- 17585 Airline Hwy
Prairieville, LA 70769-3303 - Phone
- (225) 677-7390
- NPI assigned
- Dec 2, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14180 | LA | |
| Pharmacist | 183500000X | 014180 | LA | Primary |
Addresses
Primary practice location
17585 Airline Hwy
Prairieville, LA 70769-3303
Mailing address
38128 Henry Rd
Prairieville, LA 70769-4117
Phone (225) 278-3166
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | npi |
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 |
|---|---|---|---|
| 14180 | LA | MD | Clinical Social Worker |
| 014180 | LA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1780394585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38128 HENRY RD",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707694117",
"telephone_number": "225-278-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17585 AIRLINE HWY",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707693303",
"telephone_number": "225-677-7390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVEER",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-02",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "14180",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "014180",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "npi",
"affiliation": "N",
"address_1": "17585 Airline Hwy",
"city": "Prairieville",
"state": "LA",
"country_code": "US",
"postal_code": "707693303",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Prairieville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.