Active NPI
Victor Nhan Thanh Nguyen, PHARM.D
- Pharmacist
- Cortland, NY
National Provider Identifier
1023294923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 049742
- Practice address
- 3948 Route 281
Cortland, NY 13045-8851 - Phone
- (607) 756-8489
- Fax
- (607) 756-8495
- NPI assigned
- Jan 10, 2008
- Last updated
- Mar 16, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16982 | MD | |
| Pharmacist | 183500000X | 28RI02861200 | NJ | |
| Pharmacist | 183500000X | RP437867 | PA | |
| Pharmacist | 183500000X | 049742 | NY | Primary |
Addresses
Primary practice location
3948 Route 281
Cortland, NY 13045-8851
Mailing address
3948 Route 281
Cortland, NY 13045-8851
Phone (607) 756-8489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02668353 | Medicaid | NY |
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 |
|---|---|---|---|
| 28RI02861200 | NJ | MD | Pharmacist |
| 049742 | NY | MD | Pharmacist |
| RP437867 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3948 State Route 281
Cortland, NY 13045
Phone (607) 756-8489
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1023294923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3948 ROUTE 281",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130458851",
"telephone_number": "607-756-8489",
"fax_number": "607-756-8495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3948 ROUTE 281",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130458851",
"telephone_number": "607-756-8489",
"fax_number": "607-756-8495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "VICTOR NHAN",
"middle_name": "THANH",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-10",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "16982",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02861200",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP437867",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "049742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02668353",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.