Phuong Quynh Mai, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S025650 Issued in AZ

Practice address

1739 E Beverly Ave Ste 106
Kingman, AZ 86409-3593

Phone

(928) 681-8778

NPI assigned

Apr 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1083358337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8779 RIO ANDIR AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485355",
            "telephone_number": "702-769-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 E BEVERLY AVE STE 106",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093593",
            "telephone_number": "928-681-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "PHUONG",
        "middle_name": "QUYNH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S025650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hellen Ly
• Sarah Lybrand
• Marissa Sue Madison, PA
• Madix Medical Center, PLLC
• Ashwin Kumar Mahajan
• Yusria Rifat Malik, M.D., M.P.H.
• Sarah Ann Mandujano, LAT, ATC
• Sheila R Mane, MD
• Mangelsdorf Family Dentistry
• Jesse Isaac Mangelsdorf, D.D.S.

• Pharmacist in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.