Individual provider Active NPI

Vinh Mai, RPH

  • Pharmacy
  • Forest Park, GA
National Provider Identifier
1033734140
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
RPH030203 Issued in GA
Practice address
1165 Main St
Forest Park, GA 30297-1443
Phone
(770) 888-2235
NPI assigned
Jun 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RPH030203 GA Primary

Addresses

Primary practice location

1165 Main St
Forest Park, GA 30297-1443

Mailing address

1165 Main St
Forest Park, GA 30297-1443
Phone (770) 888-2235

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH030203GAMDPharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Saigon Pharmacy LLC CurrentSince Nov 17, 2024 Accepting new patients
Saigon Pharmacy LLC Pharmacy CurrentSince Jun 21, 2020 Accepting new patients

Locations

1165 Main St
Forest Park, GA 30297
Phone (770) 888-2235

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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1033734140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 MAIN ST",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971443",
            "telephone_number": "770-888-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 MAIN ST",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971443",
            "telephone_number": "770-888-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "VINH",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "RPH030203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.