Individual provider Active NPI

Thao Kim Doan, PHARM.D.

  • Pharmacist
  • New York, NY
National Provider Identifier
1003195629
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
055951 Issued in NY
Practice address
230 Grand St
Suite A1-2
New York, NY 10013-4241
Phone
(212) 219-8998
NPI assigned
Aug 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 055951 NY Primary

Addresses

Primary practice location

230 Grand St
Suite A1-2
New York, NY 10013-4241

Mailing address

230 Grand St Ste A1-2
New York, NY 10013-4241
Phone (212) 219-8998

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
055951NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tu Quynh Pharmacy, Inc. CurrentSince Apr 14, 2024 Accepting new patients
Tu Quynh Pharmacy, Inc. Pharmacist Current Accepting new patients

Locations

230 Grand St
Ste A12
New York, NY 10013
Phone (212) 219-8998

Organizations & group practices 2

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": "1313193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1003195629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 GRAND ST STE A1-2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134241",
            "telephone_number": "212-219-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GRAND ST",
            "address_2": "SUITE A1-2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134241",
            "telephone_number": "212-219-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "THAO",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-13",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "055951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.