Active NPI
Phong Tran
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1205143443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18321
- Practice address
- 4485 Perkins Rd
Baton Rouge, LA 70808-3034 - Phone
- (225) 926-0734
- NPI assigned
- Sep 9, 2010
- Sex
- Male
- 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 | 18321 | LA | Primary |
Addresses
Primary practice location
4485 Perkins Rd
Baton Rouge, LA 70808-3034
Mailing address
4485 Perkins Rd
Baton Rouge, LA 70808-3034
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 |
|---|---|---|---|
| 18321 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1205143443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4485 PERKINS RD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708083034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4485 PERKINS RD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708083034",
"telephone_number": "225-926-0734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "PHONG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-09",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "18321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.