Robert B Vidrine Blakes Family Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

10232 Issued in LA

Legal business name

ROBERT B VIDRINE BLAKES FAMILY PHARMACY

Practice address

512 McArthur Dr.
Ville Platte, LA 70586-2906

Phone

(337) 363-6252

Fax

(337) 363-0477

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert Blake Vidrine, PD

Title

Owner

Phone

(337) 363-6252

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blakes Family Pharmacy Other name

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1790827897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 348",
            "address_2": "512 MC ARTHUR DR",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705860348",
            "telephone_number": "337-363-6252",
            "fax_number": "337-363-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 MCARTHUR DR.",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705862906",
            "telephone_number": "337-363-6252",
            "fax_number": "337-363-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B VIDRINE BLAKES FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "VIDRINE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-363-6252",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "10232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1204471",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blakes Family Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Glenda Moore Redfield, MENTAL HEALTH PROFES
• Jessica Reed, RN
• Joseph Riley Reed Jr., MD
• Briana Necole Rene
• Marquet S Rideau, ED.D
• Robert L. Craig, M.D., L.L.C.
• Lauren Rozas, PT
• Celeste Marie Sam, PMHNP
• Lauren Shipp Santoro, PA-C
• Savoy Medical Management Group, Inc

• Pharmacist in Ville Platte, LA
• Providers in Ville Platte, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.