Active NPI
Cynthia Ngoc-Huyen Pham
- Pharmacist
- Youngsville, LA
National Provider Identifier
1265930143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22298
- Practice address
- 2910 E Milton Ave
Youngsville, LA 70592-5379 - Phone
- (337) 856-8881
- Fax
- (337) 856-8986
- NPI assigned
- Jan 25, 2018
- 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 | 22298 | LA | Primary |
Addresses
Primary practice location
2910 E Milton Ave
Youngsville, LA 70592-5379
Mailing address
8928 Vermilion Lakes Dr
Abbeville, LA 70510-2298
Phone (337) 412-2645
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 |
|---|---|---|---|
| 22298 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Louisiana CVS Pharmacy LLC | 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": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516838400000",
"number": "1265930143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8928 VERMILION LAKES DR",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705102298",
"telephone_number": "337-412-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 E MILTON AVE",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705925379",
"telephone_number": "337-856-8881",
"fax_number": "337-856-8986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "CYNTHIA",
"middle_name": "NGOC-HUYEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-25",
"last_updated": "2018-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "22298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngsville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.