Active NPI
Raven Spooner, PHARMD
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1982111282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0022330
- Practice address
- 9960 Bluebonnet Blvd
Baton Rouge, LA 70810-6457 - Phone
- (225) 768-7775
- NPI assigned
- Jan 8, 2018
- Sex
- Female
- 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 | 0022330 | LA | Primary |
Addresses
Primary practice location
9960 Bluebonnet Blvd
Baton Rouge, LA 70810-6457
Mailing address
10632 Timberlane Ave
Baton Rouge, LA 70811-1760
Phone (225) 284-4331
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 |
|---|---|---|---|
| 0022330 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1982111282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10632 TIMBERLANE AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708111760",
"telephone_number": "225-284-4331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9960 BLUEBONNET BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708106457",
"telephone_number": "225-768-7775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOONER",
"first_name": "RAVEN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "0022330",
"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 Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.