Active NPI
Vivianne Pham
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1407799034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.026207
- Practice address
- 12880 Airline Hwy
Baton Rouge, LA 70817-5105 - Phone
- (225) 751-3611
- NPI assigned
- Apr 9, 2026
- Last updated
- Apr 9, 2026
- 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.026207 | LA | Primary |
Addresses
Primary practice location
12880 Airline Hwy
Baton Rouge, LA 70817-5105
Mailing address
12880 Airline Hwy
Baton Rouge, LA 70817-5105
Phone (225) 751-3611
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 |
|---|---|---|---|
| PST.026207 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1407799034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12880 AIRLINE HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708175105",
"telephone_number": "225-751-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12880 AIRLINE HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708175105",
"telephone_number": "225-751-3611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "VIVIANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.026207",
"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 Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.