Active NPI
Ngoc Lam Thai Hoang
- Pharmacist
- Lawrenceville, GA
National Provider Identifier
1104197870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS37868
- Practice address
- 631 Professional Dr Ste 100
Lawrenceville, GA 30046-3370 - Phone
- (770) 339-2029
- Fax
- (770) 339-7385
- NPI assigned
- Jan 26, 2012
- Last updated
- Jan 12, 2023
- 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 | PS37868 | FL | Primary |
Addresses
Primary practice location
631 Professional Dr Ste 100
Lawrenceville, GA 30046-3370
Mailing address
631 Professional Dr Ste 100
Lawrenceville, GA 30046-3370
Phone (703) 339-2029
Other practice location 1
12211 W Hillsborough Ave
Tampa, FL 33635-9778
Phone (813) 925-1100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ngoclam.hoang@walgreens.com | Direct |
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 |
|---|---|---|---|
| PS37868 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1327536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1104197870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 PROFESSIONAL DR STE 100",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463370",
"telephone_number": "703-339-2029",
"fax_number": "770-339-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 PROFESSIONAL DR STE 100",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463370",
"telephone_number": "770-339-2029",
"fax_number": "770-339-7385"
}
],
"practiceLocations": [
{
"address_1": "12211 W Hillsborough Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336359778",
"country_code": "US",
"telephone_number": "813-925-1100",
"fax_number": "813-925-1040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOANG",
"first_name": "NGOC LAM",
"middle_name": "THAI",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-26",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37868",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ngoclam.hoang@walgreens.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "631 Professional Dr Ste 100",
"city": "Lawrenceville",
"state": "GA",
"country_code": "US",
"postal_code": "300463370",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.