Active NPI
Mercedes Mai Phuong Nguyen
- Pharmacist
- Jefferson, LA
National Provider Identifier
1730955451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.025013
- Practice address
- 4327 Jefferson Hwy
Jefferson, LA 70121-1519 - Phone
- (504) 731-1431
- NPI assigned
- Dec 4, 2023
- Last updated
- Dec 4, 2023
- 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.025013 | LA | Primary |
Addresses
Primary practice location
4327 Jefferson Hwy
Jefferson, LA 70121-1519
Mailing address
2300 Edenborn Ave Apt 3-178
Metairie, LA 70001-1837
Phone (228) 233-0393
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.025013 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
4327 Jefferson Hwy
Jefferson, LA 70121
Phone (504) 731-1431
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": "1701648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1730955451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 EDENBORN AVE APT 3-178",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700011837",
"telephone_number": "228-233-0393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4327 JEFFERSON HWY",
"city": "JEFFERSON",
"state": "LA",
"postal_code": "701211519",
"telephone_number": "504-731-1431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MERCEDES",
"middle_name": "MAI PHUONG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.025013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.