Individual provider Active NPI

James Austin Peavy, PHARM.D.

  • Pharmacist
  • Baton Rouge, LA
National Provider Identifier
1861763237
Registry record updated Sep 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
018847 Issued in LA
Practice address
13565 Hooper Rd
Baton Rouge, LA 70818-2912
Phone
(225) 256-7373
NPI assigned
Jan 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 018847 LA Primary

Addresses

Primary practice location

13565 Hooper Rd
Baton Rouge, LA 70818-2912

Mailing address

16874 Hubbs Rd
Pride, LA 70770-9788
Phone (225) 939-7033

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
018847LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Two Rivers Drugstore LLC CurrentSince Sep 4, 2022 Accepting new patients
Central Drug Store Inc PastSince Sep 4, 2022 Accepting new patients

Locations

13565 Hooper Rd
Baton Rouge, LA 70818
Phone (225) 256-7373

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662163200000",
    "number": "1861763237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16874 HUBBS RD",
            "city": "PRIDE",
            "state": "LA",
            "postal_code": "707709788",
            "telephone_number": "225-939-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13565 HOOPER RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708182912",
            "telephone_number": "225-256-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAVY",
        "first_name": "JAMES",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-18",
        "last_updated": "2022-09-03",
        "certification_date": "2022-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "018847",
            "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 Sep 3, 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.