Individual provider Active NPI

Joseph Scott Black, RPH

  • Pharmacist
  • Gonzales, LA
National Provider Identifier
1811608524
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PST.0015253 Issued in LA
Practice address
1039 E Highway 30
Gonzales, LA 70737-4757
Phone
(225) 647-4182
Fax
(844) 337-6197
NPI assigned
Dec 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 46821 TX
Pharmacist 183500000X PST.0015253 LA Primary

Addresses

Primary practice location

1039 E Highway 30
Gonzales, LA 70737-4757

Mailing address

1039 E Highway 30
Gonzales, LA 70737-4757
Phone (225) 647-4182

Other identifiers 2

IdentifierTypeStateIssuer
PST.0015253OtherLALOUISIANA PHARMACY LICENSE ID
46821OtherTXTEXAS PHARMACY LICENSE ID

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PST.0015253LAMDPharmacist
46821TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1811608524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 E HIGHWAY 30",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374757",
            "telephone_number": "225-647-4182",
            "fax_number": "844-337-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 E HIGHWAY 30",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374757",
            "telephone_number": "225-647-4182",
            "fax_number": "844-337-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JOSEPH",
        "middle_name": "SCOTT",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "46821",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.0015253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA PHARMACY LICENSE ID",
            "identifier": "PST.0015253",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHARMACY LICENSE ID",
            "identifier": "46821",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

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

Verify at the official NPI Registry.