DR. ROBERT BOUGARD (NPI# 1932553765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932553765 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BOUGARD |
| Credential | PHARM. D. |
| Practice Address |
12881 Perkins Rd Baton Rouge LA 70810-1913 |
| Mailing Address |
1020 Deer Hollow Dr Woodstock GA 30189-6604 |
| Practice Telephone | 2257636281 |
| Mailing Telephone | 3373709035 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | PHI16135 | GA | Pharmacy Service Providers |
| Street Address |
12881 PERKINS RD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114932373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2006-07-29 |
| 1336610039 | Han Ngoc Nguyen | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2018-12-07 |
| 1881113082 | Jennifer Johnson | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810 | 2017-09-19 |
| 1821545625 | Nhi Pham | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2016-09-09 |
| 1609272178 | Ravin M. Ellis | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2014-11-11 |
| 1194127654 | Michelle C Vaultz | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2014-09-16 |
| 1730516444 | Stefnee Watkins | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2013-09-26 |
| 1851600134 | Kyla D'shea Brown | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2010-10-04 |
| 1245546852 | John Randall Dye | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2010-08-20 |
| 1437464245 | Mike Thomas Malinowski | Pharmacist | 12881 Perkins Rd, Baton Rouge, LA 70810-1913 | 2010-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740492974 | Carrie Banta Mix | Pharmacy Technician | 13565 Hooper Rd, Baton Rouge, LA 70818-2912 | 2007-05-03 |
| 1730301946 | Jill White Miller | Pharmacy Technician | 13565 Hooper Rd, Baton Rouge, LA 70818-2912 | 2007-05-03 |
| 1073731097 | Pamela Hayward | Pharmacy Technician | 16777 Medical Center Dr, Suite 400, Baton Rouge, LA 70816-3254 | 2007-04-23 |
| 1801014816 | Margaret Crockett | Pharmacy Technician | 16777 Medical Center Dr, Suite 400, Baton Rouge, LA 70816-3254 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793704 | Joycelyn Glenn | Pharmacy Technician | 1549 Gentilly Blvd, New Orleans, LA 70119-2254 | 2020-09-07 |
| 1477041408 | Beth Nicole Shelton | Pharmacy Technician | 2106 Bert Kouns Industrial Loop, Shreveport, LA 71118-3317 | 2018-04-25 |
| 1861939142 | Rebecca Falcon | Pharmacy Technician | 5341 Myrle St, Addis, LA 70710-2422 | 2017-01-25 |
| 1285998864 | Preston Cantrelle | Pharmacy Technician | 5259 Marcia Ave, New Orleans, LA 70124-1048 | 2012-06-28 |
| 1417162702 | Barbara Jean Collins | Pharmacy Technician | 1027 St. Helena St., Clinton, LA 70722 | 2007-05-11 |
| 1902022205 | Christine Cruz Lee | Pharmacy Technician | 56449 Redmill Dr, Slidell, LA 70461-1327 | 2007-04-17 |
| 1730209164 | Kathy E Denman | Pharmacy Technician | 204 Davenport Ave., Mer Rouge, LA 71261 | 2007-03-30 |
| 1215963665 | Sunset Pharmacy, Inc | Pharmacy Technician | 919 Napoleon Ave, Sunset, LA 70584-6100 | 2006-06-25 |
| 1528028131 | Karen Michelle Seffens | Pharmacy Technician | 252 Highway 132, Mangham, LA 71259-5268 | 2006-03-27 |
| 1255945382 | Frank James List | Pharmacy Technician | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-05 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.