Joey Nguyen, PHARMD
Individual provider Active NPI Pharmacist · Boutte, LA
NPI 1992428205 · NPPES record last updated Sep 21, 2022
Key facts
- NPI
- 1992428205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 024542 (LA)
- Practice address
- 13001 Highway 90
Boutte, LA 70039-3051 - Phone
- (985) 785-8586
- NPI assigned
- Sep 21, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024542 | LA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 024542 | LA | Yes |
Addresses
Primary practice location
13001 Highway 90
Boutte, LA 70039-3051
Mailing address
1205 Lake Frances Dr
Gretna, LA 70056-8320
Phone (504) 300-2656
Other providers in Boutte, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.