Kelly Nguyen
Individual provider Active NPI Pharmacist · Westwego, LA
NPI 1497528673 · NPPES record last updated Oct 31, 2023
Key facts
- NPI
- 1497528673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 024954 (LA)
- Practice address
- 818 Westbank Expy
Westwego, LA 70094-4607 - Phone
- (504) 348-1026
- NPI assigned
- Oct 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024954 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 024954 | LA | Yes |
Addresses
Primary practice location
818 Westbank Expy
Westwego, LA 70094-4607
Mailing address
7420 Hess Dr
Marrero, LA 70072-5993
Phone (504) 432-1966
Other providers in Westwego, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.