Active NPI
Vivian Cu, PHARMD
- Pharmacist
- Gonzales, LA
National Provider Identifier
1164189049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.024135
- Practice address
- 105 W Highway 30
Gonzales, LA 70737-4802 - Phone
- (225) 644-0434
- NPI assigned
- Nov 26, 2021
- Sex
- Female
- 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 | PST.024135 | LA | Primary |
Addresses
Primary practice location
105 W Highway 30
Gonzales, LA 70737-4802
Mailing address
105 W Highway 30
Gonzales, LA 70737-4802
Phone (225) 644-0434
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 Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.024135 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
105 W Highway 30
Gonzales, LA 70737
Phone (225) 644-0434
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637884800000",
"number": "1164189049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W HIGHWAY 30",
"city": "GONZALES",
"state": "LA",
"postal_code": "707374802",
"telephone_number": "225-644-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W HIGHWAY 30",
"city": "GONZALES",
"state": "LA",
"postal_code": "707374802",
"telephone_number": "225-644-0434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CU",
"first_name": "VIVIAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-26",
"last_updated": "2021-11-26",
"certification_date": "2021-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.024135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.