Active NPI
Michael Lee Mitchell III, PHARMD
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1922652270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.023068
- Practice address
- 7620 Jefferson Hwy
Baton Rouge, LA 70809-1101 - Phone
- (225) 929-6566
- NPI assigned
- Jul 25, 2019
- Last updated
- Nov 27, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.023068 | LA | Primary |
Addresses
Primary practice location
7620 Jefferson Hwy
Baton Rouge, LA 70809-1101
Mailing address
29 Primrose LN
Westwego, LA 70094-2200
Phone (504) 232-8705
Other names 1
- Dr. Michael Lee Mitchell
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxm.03399@store.walgreens.com | WALGREEN CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PST.023068 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1922652270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 PRIMROSE LN",
"city": "WESTWEGO",
"state": "LA",
"postal_code": "700942200",
"telephone_number": "504-232-8705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7620 JEFFERSON HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708091101",
"telephone_number": "225-929-6566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "MICHAEL",
"middle_name": "LEE",
"name_suffix": "III",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-25",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.023068",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxm.03399@store.walgreens.com",
"affiliation": "Y",
"affiliationName": "WALGREEN CO",
"address_1": "7620 Jefferson Hwy",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708091101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "MITCHELL",
"middle_name": "LEE",
"prefix": "DR.",
"credential": "PHARMD",
"code": "2",
"type": "Professional Name"
}
]
}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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.