NPIMap

Organization Active NPI

Baton Rouge Specialty Pharmacy

  • Clinic Pharmacy
  • Baton Rouge, LA
National Provider Identifier
1801940259
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
4592IR Issued in LA
Legal business name
BATON ROUGE SPECIALTY PHARMACY
Practice address
748 Chevelle Dr
Baton Rouge, LA 70806-6503
Phone
(225) 929-9912
Fax
(225) 929-9948
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Liem Nguyen
Title
Pic
Phone
(225) 929-9912

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X 4592IR LA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

748 Chevelle Dr
Baton Rouge, LA 70806-6503

Mailing address

748 Chevelle Dr
Baton Rouge, LA 70806-6503
Phone (225) 929-9912

Other identifiers 2

IdentifierTypeStateIssuer
1929996OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1270741MedicaidLA

Other names 1

  • BATON ROUGE SPECIALTY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

748 Chevelle Dr
Baton Rouge, LA 70806
Phone (225) 927-5095

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1801940259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 CHEVELLE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066503",
            "telephone_number": "225-929-9912",
            "fax_number": "225-929-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 CHEVELLE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066503",
            "telephone_number": "225-929-9912",
            "fax_number": "225-929-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LIEM",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "225-929-9912"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "LA",
            "license": "4592IR",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1929996",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1270741",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BATON ROUGE SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 4, 2017; 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.