Active NPI
Tony Viet-Son Nguyen, PST
- Pharmacist
- Lake Charles, LA
National Provider Identifier
1447864905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.023591
- Practice address
- 4460 Lake St
Lake Charles, LA 70605-4312 - Phone
- (337) 478-6042
- NPI assigned
- Sep 2, 2020
- 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 | PST.023591 | LA | Primary |
Addresses
Primary practice location
4460 Lake St
Lake Charles, LA 70605-4312
Mailing address
1330 W McNeese St Apt 9201
Lake Charles, LA 70605-4518
Phone (504) 358-7414
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.023591 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1447864905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 W MCNEESE ST APT 9201",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706054518",
"telephone_number": "504-358-7414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 LAKE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706054312",
"telephone_number": "337-478-6042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TONY",
"middle_name": "VIET-SON",
"credential": "PST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.023591",
"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 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.