Active NPI
Diem Vo
- Pharmacist
- Youngsville, LA
National Provider Identifier
1669106035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.024383
- Practice address
- 2820 E Milton Ave
Youngsville, LA 70592-5349 - Phone
- (337) 856-9910
- NPI assigned
- Jul 12, 2022
- Last updated
- Jul 12, 2022
- Sex
- Female
- 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.024383 | LA | Primary |
Addresses
Primary practice location
2820 E Milton Ave
Youngsville, LA 70592-5349
Mailing address
113 Cherry Bark LN
Lafayette, LA 70508-8146
Other practice location 1
2910 E Milton Ave
Youngsville, LA 70592-6766
Phone (337) 856-9910
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.024383 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2820 E Milton Ave
Youngsville, LA 70592
Phone (337) 247-3193
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1669106035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 CHERRY BARK LN",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705088146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 E MILTON AVE",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705925349",
"telephone_number": "337-856-9910"
}
],
"practiceLocations": [
{
"address_1": "2910 E Milton Ave",
"address_purpose": "LOCATION",
"city": "Youngsville",
"state": "LA",
"postal_code": "705926766",
"country_code": "US",
"telephone_number": "337-856-9910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VO",
"first_name": "DIEM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.024383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngsville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.