Active NPI
Robert Louis Dufresne, R.PH. PHD, BCPP,BCPS
- Psychiatric Pharmacist
- Providence, RI
National Provider Identifier
1992814941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 2677
- Practice address
- Providence VA Medical Ctr
830 Chalkstone Ave
Providence, RI 02918-0001 - Phone
- (401) 273-7100
- NPI assigned
- Aug 30, 2006
- 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 2677 | RI | Primary |
Addresses
Primary practice location
Providence VA Medical Ctr
830 Chalkstone Ave
Providence, RI 02918-0001
Mailing address
41 Lower College Rd
Kingston, RI 02881-1966
Phone (401) 397-1880
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2677 | RI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238025600000",
"number": "1992814941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 LOWER COLLEGE RD",
"city": "KINGSTON",
"state": "RI",
"postal_code": "028811966",
"telephone_number": "401-397-1880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PROVIDENCE VA MEDICAL CTR",
"address_2": "830 CHALKSTONE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029180001",
"telephone_number": "401-273-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFRESNE",
"first_name": "ROBERT",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "R.PH. PHD, BCPP,BCPS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2009-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "RI",
"license": "2677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.