Individual provider Active NPI

Robin Mark Deshotel, RPH

  • Pharmacist
  • Mamou, LA
National Provider Identifier
1992326763
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PIC.016723 Issued in LA
Practice address
1508 Cajun Dr
Mamou, LA 70554-2400
Phone
(337) 468-5001
NPI assigned
May 2, 2020
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PIC.016723 LA Primary

Addresses

Primary practice location

1508 Cajun Dr
Mamou, LA 70554-2400

Mailing address

27020 Ruffin Rd
Elton, LA 70532-4300
Phone (337) 523-0530

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PIC.016723LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Robin Deshotel Pharmacy LLC Current Accepting new patients
Walgreen Co. PastSince Jan 1, 2023 Accepting new patients
Walgreen Co PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 4

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": "1588377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1992326763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27020 RUFFIN RD",
            "city": "ELTON",
            "state": "LA",
            "postal_code": "705324300",
            "telephone_number": "337-523-0530",
            "fax_number": "337-246-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 CAJUN DR",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542400",
            "telephone_number": "337-468-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHOTEL",
        "first_name": "ROBIN",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-02",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PIC.016723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamou, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.