Active NPI
Brandon Dominic Nguyen, PHARMD
- Pharmacist
- New Orleans, LA
National Provider Identifier
1992585772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.024423
- Practice address
- 2000 Canal St
New Orleans, LA 70112-3018 - Phone
- (504) 702-4914
- Fax
- (504) 702-2303
- NPI assigned
- Sep 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.024423 | LA | Primary |
Addresses
Primary practice location
2000 Canal St
New Orleans, LA 70112-3018
Mailing address
109 Jubilee PT
Slidell, LA 70458-9016
Other practice location 1
4626 Alcee Fortier Blvd
New Orleans, LA 70129-2130
Phone (504) 254-8989
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
| License | State | Type | Specialty |
|---|---|---|---|
| PST.024423 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1992585772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 JUBILEE PT",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704589016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 CANAL ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701123018",
"telephone_number": "504-702-4914",
"fax_number": "504-702-2303"
}
],
"practiceLocations": [
{
"address_1": "4626 Alcee Fortier Blvd",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701292130",
"country_code": "US",
"telephone_number": "504-254-8989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "BRANDON",
"middle_name": "DOMINIC",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-29",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.024423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.