Active NPI
Tony Duc Nguyen
- Pharmacist
- Lafayette, LA
National Provider Identifier
1508235789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046787
- Practice address
- 4313 Ambassador Caffery Pkwy
Lafayette, LA 70508-6703 - Phone
- (337) 517-5917
- NPI assigned
- Sep 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 021308 | LA | |
| Pharmacist | 183500000X | 046787 | LA | Primary |
Addresses
Primary practice location
4313 Ambassador Caffery Pkwy
Lafayette, LA 70508-6703
Mailing address
810 S Shireview Cir
Abbeville, LA 70510-7930
Phone (337) 517-5917
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 |
|---|---|---|---|
| 046787 | LA | MD | Pharmacist |
| 021308 | LA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1508235789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 S SHIREVIEW CIR",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705107930",
"telephone_number": "337-517-5917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4313 AMBASSADOR CAFFERY PKWY",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086703",
"telephone_number": "337-517-5917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TONY",
"middle_name": "DUC",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-17",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "021308",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "046787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.