Individual provider Active NPI

Lillian Thao Nguyen Tran

  • Pharmacist
  • Lafayette, LA
National Provider Identifier
1962160424
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PST.024141 Issued in LA
Practice address
2700 Johnston St
Lafayette, LA 70503-3242
Phone
(337) 232-9317
Fax
(337) 232-5262
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.024141 LA Primary

Addresses

Primary practice location

2700 Johnston St
Lafayette, LA 70503-3242

Mailing address

314 Wall Blvd
Gretna, LA 70056-7329
Phone (504) 352-8511

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.024141LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Louisiana Co Inc PastSince Jan 8, 2023 Accepting new patients
Walgreen Louisiana Co Inc PastSince Jan 8, 2023 Accepting new patients
Walgreen Co PastSince Dec 1, 2021 Accepting new patients
Walgreen Co PastSince Dec 1, 2021 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1962160424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 WALL BLVD",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567329",
            "telephone_number": "504-352-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 JOHNSTON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033242",
            "telephone_number": "337-232-9317",
            "fax_number": "337-232-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "LILLIAN",
        "middle_name": "THAO NGUYEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.024141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

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

Verify at the official NPI Registry.