Individual provider Active NPI

Philippe Emile Pucheu, PHARMD

  • Pharmacist
  • Baton Rouge, LA
National Provider Identifier
1932358702
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18455 Issued in LA
Practice address
10101 Park Rowe Ave
Suite 600
Baton Rouge, LA 70810-1686
Phone
(225) 906-4961
Fax
(225) 906-4829
NPI assigned
Sep 16, 2008
Last updated
Mar 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18455 LA Primary

Addresses

Primary practice location

10101 Park Rowe Ave
Suite 600
Baton Rouge, LA 70810-1686

Mailing address

PO Box 83352
Baton Rouge, LA 70884-3352

Other identifiers 1

IdentifierTypeStateIssuer
1896616MedicaidLA

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
18455LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rao Community Pharmacy Current Accepting new patients
Apothecare Pharmacy Baton Rouge Current Accepting new patients
PBM Solutions Coushatta LLC Current Accepting new patients

Organizations & group practices 3

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1932358702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83352",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708843352",
            "fax_number": "888-492-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 PARK ROWE AVE",
            "address_2": "SUITE 600",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101686",
            "telephone_number": "225-906-4961",
            "fax_number": "225-906-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCHEU",
        "first_name": "PHILIPPE",
        "middle_name": "EMILE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "18455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1896616",
            "state": "LA"
        }
    ],
    "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 Mar 7, 2016; 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.