Individual provider Active NPI

Nhu Khon Doan

  • Pharmacist
  • New Orleans, LA
National Provider Identifier
1699225516
Registry record updated Sep 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
021785 Issued in LA
Practice address
5702 Crowder Blvd
New Orleans, LA 70127-2409
Phone
(504) 241-1456
NPI assigned
Oct 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 021785 LA Primary

Addresses

Primary practice location

5702 Crowder Blvd
New Orleans, LA 70127-2409

Mailing address

5702 Crowder Blvd
New Orleans, LA 70127-2409
Phone (504) 241-1456

Other practice location 1

2001 ONeal Ln
Baton Rouge, LA 70816-3204
Phone (225) 756-8536

Other practice location 2

4142 Pontchartrain Dr
Slidell, LA 70458-5138
Phone (985) 649-3490

Other identifiers 1

IdentifierTypeStateIssuer
1699225516MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Walgreens Direct

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

LicenseStateTypeSpecialty
021785LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664064000000",
    "number": "1699225516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 CROWDER BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701272409",
            "telephone_number": "504-241-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 CROWDER BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701272409",
            "telephone_number": "504-241-1456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 ONeal Ln",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708163204",
            "country_code": "US",
            "telephone_number": "225-756-8536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4142 Pontchartrain Dr",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704585138",
            "country_code": "US",
            "telephone_number": "985-649-3490",
            "fax_number": "985-649-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOAN",
        "first_name": "NHU",
        "middle_name": "KHON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2022-09-25",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "021785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699225516",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Walgreens",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5702 Crowder Blvd",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701272409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.