Phat Kim Quach, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

17260 Issued in LA

Practice address

1400 N Broad St
New Orleans, LA 70119-2332

Phone

(504) 309-4388

Fax

(504) 309-4389

NPI assigned

Nov 9, 2020

Last updated

Nov 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Broad Avenue Pharmacy LLC

  • Pharmacist
  • New Orleans, LA
  • NPI 1396879003
  NPD Authorized official
• Broad Avenue Pharmacy LLC

  dba Broad Avenue Pharmacy

  • Pharmacy
  • New Orleans, LA
  • NPI 1669948162
  NPD Authorized official

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1861094575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N BROAD ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701192332",
            "telephone_number": "504-309-4388",
            "fax_number": "504-309-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N BROAD ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701192332",
            "telephone_number": "504-309-4388",
            "fax_number": "504-309-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACH",
        "first_name": "PHAT",
        "middle_name": "KIM",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "17260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE'S NUMBER",
            "identifier": "17260",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• QDQ Logistics LLC
• Valentina Qerimi
• Karen Meixin Qiang, MD
• Duc Quach, PHARM D
• Jim Quach, MEDICAL TECHNOLOGIST
• Qualis Care of Louisiana LLC
• Quality First Transport
• Quality Patient Care Attendant Services
• Quality Patient Care Attendant Services LLC
• Quality Patient Care Attendant Services,LLC

• Pharmacist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.