Individual provider Active NPI

Ly Huong Ngoc Pham, PHARM.D

  • Pharmacist
  • Baton Rouge, LA
National Provider Identifier
1891870945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17745 Issued in LA
Practice address
13555 Old Hammond Hwy
Baton Rouge, LA 70816-1161
Phone
(225) 272-8566
Fax
(225) 272-6005
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17745 LA Primary

Addresses

Primary practice location

13555 Old Hammond Hwy
Baton Rouge, LA 70816-1161

Mailing address

12500 Old Hammond Hwy
Unit D-1
Baton Rouge, LA 70816-1088
Phone (225) 246-8287

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
17745LAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891870945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 OLD HAMMOND HWY",
            "address_2": "UNIT D-1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161088",
            "telephone_number": "225-246-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 OLD HAMMOND HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161161",
            "telephone_number": "225-272-8566",
            "fax_number": "225-272-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "LY HUONG",
        "middle_name": "NGOC",
        "name_prefix": "Miss",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "17745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.