Active NPI
Tran Huyen Diep, PHARM.D
- Pharmacist
- Lake Charles, LA
National Provider Identifier
1306355458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 022220
- Practice address
- 2636 Ryan St
Lake Charles, LA 70601-7326 - Phone
- (337) 433-4178
- NPI assigned
- Sep 20, 2017
- Last updated
- Sep 20, 2017
- 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 | 022220 | LA | Primary |
Addresses
Primary practice location
2636 Ryan St
Lake Charles, LA 70601-7326
Mailing address
2636 Ryan St
Lake Charles, LA 70601-7326
Phone (337) 433-4178
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 |
|---|---|---|---|
| 022220 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Louisiana Co Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505865600000",
"number": "1306355458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2636 RYAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706017326",
"telephone_number": "337-433-4178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2636 RYAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706017326",
"telephone_number": "337-433-4178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEP",
"first_name": "TRAN",
"middle_name": "HUYEN",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-20",
"last_updated": "2017-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "022220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.