Active NPI
Tien Niem Banh, PST.018840 (PHARM.D)
- Pharmacist
- Bogalusa, LA
National Provider Identifier
1699174565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.018840
- Practice address
- 401 Ontario Ave
Pharmacy Deparment
Bogalusa, LA 70427-2610 - Phone
- (985) 732-7677
- Fax
- (985) 732-7677
- NPI assigned
- Aug 17, 2014
- 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.018840 | LA | Primary |
Addresses
Primary practice location
401 Ontario Ave
Pharmacy Deparment
Bogalusa, LA 70427-2610
Mailing address
401 Ontario Ave
Pharmacy Deparment
Bogalusa, LA 70427-2610
Phone (985) 732-7677
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.018840 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | 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.
-
dba WalMart Pharmacy 10-0803
- Community/Retail Pharmacy
- Bogalusa, LA
- NPI 1962717157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408233600000",
"number": "1699174565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ONTARIO AVE",
"address_2": "PHARMACY DEPARMENT",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704272610",
"telephone_number": "985-732-7677",
"fax_number": "985-732-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 ONTARIO AVE",
"address_2": "PHARMACY DEPARMENT",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704272610",
"telephone_number": "985-732-7677",
"fax_number": "985-732-7677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANH",
"first_name": "TIEN",
"middle_name": "NIEM",
"credential": "PST.018840 (PHARM.D)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-17",
"last_updated": "2014-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.018840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bogalusa, LA
- Henry Y Au, CRNA
- Shaul David Austin, LPC
- Anna Axum, M.S., CCC-SLP
- Back on Track, Inc
- Brittany Faith Baldo
- Robert Bradford Bardy, P.T., D.P.T.
- Shannon H Barnes
- Kenberly Kay Baughman, MSN, APRN, FNP-C
- Billy Kevin Beach, PTA
- Beacon Behavioral Hospital Northshore, LLC (Beacon Behavioral Outpatient - Bogalusa)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.