Active NPI
Ngoc Dang
- Pharmacist
- Broussard, LA
National Provider Identifier
1154082345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.024171
- Practice address
- 105 Saint Nazaire Rd
Broussard, LA 70518-4202 - Phone
- (337) 837-1640
- NPI assigned
- Jan 10, 2022
- Last updated
- Jan 10, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.024171 | LA | Primary |
Addresses
Primary practice location
105 Saint Nazaire Rd
Broussard, LA 70518-4202
Mailing address
3020 Mount Blanc Dr
Marrero, LA 70072-5530
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 |
|---|---|---|---|
| PST.024171 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
105 Saint Nazaire Rd
Broussard, LA 70518
Phone (337) 837-1640
Organizations & group practices 2
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": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1154082345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 MOUNT BLANC DR",
"city": "MARRERO",
"state": "LA",
"postal_code": "700725530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SAINT NAZAIRE RD",
"city": "BROUSSARD",
"state": "LA",
"postal_code": "705184202",
"telephone_number": "337-837-1640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "NGOC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.024171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broussard, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.