NPIMap

Individual provider Active NPI

Huyen Cao

  • Pharmacist
  • Abbeville, LA
National Provider Identifier
1932673845
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PST.022804 Issued in LA
Practice address
2201 Veterans Memorial Dr
Abbeville, LA 70510-4004
Phone
(337) 898-1350
NPI assigned
Jan 14, 2019
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Pharmacist 183500000X PST.022804 LA Primary

Addresses

Primary practice location

2201 Veterans Memorial Dr
Abbeville, LA 70510-4004

Mailing address

6130 Johnston St
Lafayette, LA 70503-5619
Phone (337) 984-1057

Other identifiers 1

IdentifierTypeStateIssuer
1932673845MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rxm.13134@store.walgreens.com 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
PST.022804LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Pharmacy CurrentSince Jan 15, 2023 Accepting new patients
Walgreen Co Pharmacy Past Accepting new patients
Walgreen Co Pharmacy PastSince Jan 15, 2023 Accepting new patients

Locations

6130 Johnston St
Lafayette, LA 70503
Phone (337) 234-0197

Organizations & group practices 3

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": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1932673845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 JOHNSTON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035619",
            "telephone_number": "337-984-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 VETERANS MEMORIAL DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104004",
            "telephone_number": "337-898-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAO",
        "first_name": "HUYEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.022804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932673845",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rxm.13134@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "Walgreens email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6130 Johnston Street",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Abbeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.