Active NPI
Hieu Pham
- Pharmacist
- Slidell, LA
National Provider Identifier
1114215647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045661
- Practice address
- 4142 Pontchartrain Dr
Slidell, LA 70458-5138 - Phone
- (985) 649-3490
- NPI assigned
- Jul 19, 2011
- Last updated
- Jul 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 045661 | LA | Primary |
Addresses
Primary practice location
4142 Pontchartrain Dr
Slidell, LA 70458-5138
Mailing address
325 Windward Passage St
Slidell, LA 70458-9019
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045661 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HP RX LLC | Current | Accepting new patients |
Organizations & group practices 1
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": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1114215647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 WINDWARD PASSAGE ST",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704589019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4142 PONTCHARTRAIN DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704585138",
"telephone_number": "985-649-3490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "HIEU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-19",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "045661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.