Active NPI
Marie Thi Pham, PHARM D.
- Pharmacist
- Slidell, LA
National Provider Identifier
1699080804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16988
- Practice address
- 100 N Military Rd
Slidell, LA 70461-4197 - Phone
- (985) 645-0488
- Fax
- (985) 645-0416
- NPI assigned
- Aug 11, 2010
- 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 | 16988 | LA | Primary |
Addresses
Primary practice location
100 N Military Rd
Slidell, LA 70461-4197
Mailing address
100 N Military Rd
Slidell, LA 70461-4197
Phone (985) 645-0488
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16988 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Louisiana Co Inc | Past | Accepting new patients | |
| Walgreen Louisiana Co Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pharmacy
- Slidell, LA
- NPI 1023023280
-
- Pharmacy
- Lake Charles, LA
- NPI 1629084017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1699080804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N MILITARY RD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614197",
"telephone_number": "985-645-0488",
"fax_number": "985-645-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N MILITARY RD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614197",
"telephone_number": "985-645-0488",
"fax_number": "985-645-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "MARIE",
"middle_name": "THI",
"name_prefix": "Mrs.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "16988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.