Shelby Rock Babineaux, RPH
Individual provider Active NPI Pharmacist · Saint Martinville, LA
NPI 1992883276 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992883276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- LA1362 (LA)
- Practice address
- 1620 S Main St
Saint Martinville, LA 70582-4310 - Phone
- (337) 394-9772
- Fax
- (337) 394-9773
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LA1362 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Way Pharmacy of St. Martinville | Past |
Accepting new patients | |
| Thrifty Way Pharmacy of St. Martinville | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | LA1362 | LA | Yes |
Addresses
Primary practice location
1620 S Main St
Saint Martinville, LA 70582-4310
Mailing address
1620 S Main St
Saint Martinville, LA 70582-4310
Phone (337) 394-9772
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1241075 | Medicaid | LA |
Other providers in Saint Martinville, LA
- Angelic Touch Care Services, Inc.
- Angelic Touch Care Services, Inc.
- Angelic Touch Care Services, Inc.
- Jenna Neuville Armentor
- Stacy Armstead
- Mark D Barrentine
- Ursula Batiste
- Tasha Dion Benjamin
- Estelle Latiolais Benoit
- Shelly Benson
All providers in Saint Martinville, LA · Pharmacist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.