Individual provider Active NPI

Diem Phuong Nguyen, PHARMACIST

  • Pharmacist
  • Charlotte, NC
National Provider Identifier
1093075178
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15610 Issued in NC
Practice address
6404 Albemarle Rd Ste I
Charlotte, NC 28212-3801
Phone
(704) 531-8881
Fax
(704) 531-5889
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15610 NC Primary

Addresses

Primary practice location

6404 Albemarle Rd Ste I
Charlotte, NC 28212-3801

Mailing address

6404 Albemarle Rd Ste I
Charlotte, NC 28212-3801
Phone (704) 531-8881

Other practice location 1

6413 Albemarle Rd
Charlotte, NC 28212-3815
Phone (704) 531-8881

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

LicenseStateTypeSpecialty
15610NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Friendly Family Pharmacy Pharmacist Past Accepting new patients

Organizations & group practices 1

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": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1093075178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 ALBEMARLE RD STE I",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282123801",
            "telephone_number": "704-531-8881",
            "fax_number": "704-531-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 ALBEMARLE RD STE I",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282123801",
            "telephone_number": "704-531-8881",
            "fax_number": "704-531-5889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6413 Albemarle Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282123815",
            "country_code": "US",
            "telephone_number": "704-531-8881",
            "fax_number": "704-531-8889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DIEM",
        "middle_name": "PHUONG",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "15610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

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

Verify at the official NPI Registry.