Logan Roberts, MD, PHARMD
Individual provider Active NPI Pharmacist · Saint Amant, LA
NPI 1972173326 · NPPES record last updated Apr 19, 2025
Key facts
- NPI
- 1972173326
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PST.023915 (LA)
- Practice address
- 12502 Highway 431
Saint Amant, LA 70774-3418 - Phone
- (225) 644-7288
- NPI assigned
- Jun 28, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250611001522 | LA | Order and Referring Only - Physical Medicine and Rehabilitation |
2365952025 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.023915 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Amant Family Pharmacy LLC | Current |
Accepting new patients | |
| St Amant Pharmacy Inc | Past |
Accepting new patients |
Locations
12502 Highway 431
Saint Amant, LA 70774
Phone (225) 644-7288
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pharmacist | 183500000X | PST.023915 | LA | Yes |
Addresses
Primary practice location
12502 Highway 431
Saint Amant, LA 70774-3418
Mailing address
10000 Hyde PL
River Ridge, LA 70123-1522
Phone (225) 454-9332
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | stapharmacy@yahoo.com | Direct |
Other providers in Saint Amant, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.