Individual provider Active NPI

Ian Elliott Seng, PHARM D

  • Pharmacist
  • Haughton, LA
National Provider Identifier
1447704457
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PST.021658 Issued in LA
Practice address
400 W McKinley Ave
Haughton, LA 71037-9449
Phone
(318) 949-3702
Fax
(318) 949-3702
NPI assigned
Aug 8, 2016
Last updated
Aug 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.021658 LA Primary

Addresses

Primary practice location

400 W McKinley Ave
Haughton, LA 71037-9449

Mailing address

1535 River Parkway Blvd
Apt 402
Shreveport, LA 71104-1808
Phone (501) 786-0736

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

LicenseStateTypeSpecialty
PST.021658LAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1447704457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 RIVER PARKWAY BLVD",
            "address_2": "APT 402",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711041808",
            "telephone_number": "501-786-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MCKINLEY AVE",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710379449",
            "telephone_number": "318-949-3702",
            "fax_number": "318-949-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENG",
        "first_name": "IAN",
        "middle_name": "ELLIOTT",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.021658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haughton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.