Active NPI
Tony Simon, PHARM. D
- Pharmacist
- Kenner, LA
National Provider Identifier
1164709150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST 019335
- Practice address
- 2124 38TH St
Kenner, LA 70065-3510 - Phone
- (504) 443-1294
- Fax
- (504) 443-1982
- NPI assigned
- Nov 4, 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 | PST 019335 | LA | Primary |
Addresses
Primary practice location
2124 38TH St
Kenner, LA 70065-3510
Mailing address
2124 38TH St
Kenner, LA 70065-3510
Phone (504) 443-1294
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 019335 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1164709150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 38TH ST",
"city": "KENNER",
"state": "LA",
"postal_code": "700653510",
"telephone_number": "504-443-1294",
"fax_number": "504-443-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 38TH ST",
"city": "KENNER",
"state": "LA",
"postal_code": "700653510",
"telephone_number": "504-443-1294",
"fax_number": "504-443-1982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "TONY",
"credential": "PHARM. D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-04",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST 019335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.