Active NPI
Joseph Scott Black, RPH
- Pharmacist
- Gonzales, LA
National Provider Identifier
1811608524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.0015253
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PST.0015253 | Other | LA | LOUISIANA PHARMACY LICENSE ID |
| 46821 | Other | TX | TEXAS 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
| License | State | Type | Specialty |
|---|---|---|---|
| PST.0015253 | LA | MD | Pharmacist |
| 46821 | TX | MD | Pharmacist |
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.