Active NPI
Heather Nguyen
- Pharmacist
- Concord, NC
National Provider Identifier
1013579036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28354
- Practice address
- 807 Davidson Dr NW
Concord, NC 28025-4351 - Phone
- (704) 786-0135
- NPI assigned
- Jun 29, 2019
- Sex
- Female
- 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 | 28354 | NC | Primary |
Addresses
Primary practice location
807 Davidson Dr NW
Concord, NC 28025-4351
Mailing address
4111 Seaforth Dr
Charlotte, NC 28205-4439
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Pharmacy |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28354 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561766400000",
"number": "1013579036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 SEAFORTH DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282054439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 DAVIDSON DR NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280254351",
"telephone_number": "704-786-0135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HEATHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-29",
"last_updated": "2019-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NC",
"license": "28354",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Pharmacy",
"affiliation": "N",
"endpointDescription": "Pharmacy",
"address_1": "807 Davidson Dr NW",
"city": "Concord",
"state": "NC",
"country_code": "US",
"postal_code": "280254351",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.