Individual provider Active NPI

Minh Van Nguyen, R.PH.

  • Pharmacist
  • Houma, LA
National Provider Identifier
1750687851
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
016676 Issued in LA
Practice address
2138 Bayou Blue Rd
Houma, LA 70364-3909
Phone
(985) 876-5502
NPI assigned
Feb 7, 2011
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 016676 LA Primary

Addresses

Primary practice location

2138 Bayou Blue Rd
Houma, LA 70364-3909

Mailing address

2138 Bayou Blue Rd
Houma, LA 70364-3909
Phone (985) 876-5502

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
016676LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Mina Current Accepting new patients
March Willows Current Accepting new patients

Locations

2138 Bayou Blue Rd
Houma, LA 70364
Phone (985) 772-4088

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": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1750687851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 BAYOU BLUE RD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703643909",
            "telephone_number": "985-876-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 BAYOU BLUE RD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703643909",
            "telephone_number": "985-876-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MINH",
        "middle_name": "VAN",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-07",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "016676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.