Active NPI
Michael Russell Dorman, PHARMACIST
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1780686121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14481
- Practice address
- 5825 Airline Hwy
Baton Rouge, LA 70805-2408 - Phone
- (225) 358-3920
- Fax
- (225) 358-1158
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 14481 | LA | Primary |
Addresses
Primary practice location
5825 Airline Hwy
Baton Rouge, LA 70805-2408
Mailing address
15442 Campanile CT
Baton Rouge, LA 70810-0309
Phone (225) 358-3920
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 |
|---|---|---|---|
| 14481 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780686121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15442 CAMPANILE CT",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708100309",
"telephone_number": "225-358-3920",
"fax_number": "225-358-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5825 AIRLINE HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708052408",
"telephone_number": "225-358-3920",
"fax_number": "225-358-1158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORMAN",
"first_name": "MICHAEL",
"middle_name": "RUSSELL",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "14481",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.