Active NPI
Dung T Nguyen
- Pharmacist
- Carthage, MO
National Provider Identifier
1104911494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2007035428
- Practice address
- 2737 S Grand Ave
Carthage, MO 64836-7907 - Phone
- (417) 358-4321
- NPI assigned
- Oct 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2007035428 | MO | Primary |
Addresses
Primary practice location
2737 S Grand Ave
Carthage, MO 64836-7907
Mailing address
2737 S Grand Ave
Carthage, MO 64836-7907
Phone (417) 358-4321
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 |
|---|---|---|---|
| 2007035428 | MO | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1104911494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2737 S GRAND AVE",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648367907",
"telephone_number": "417-358-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2737 S GRAND AVE",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648367907",
"telephone_number": "417-358-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DUNG",
"middle_name": "T",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MO",
"license": "2007035428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carthage, MO
- Sreedhar Reddy Mitta
- Micah Moore
- Wendy Mulder, NP
- Isaac Murphy, DC
- Neurological Associates of the Four States
- Randi S Norman, PA-C
- Northport Health Services of Missouri, LLC (Carthage Health & Rehabilitation Center)
- Northstar Anesthesia of Kentucky II, PLLC
- Natalee Quinn Norwood, RN, BSN, FNP-C
- NW Carthage LLC (Express Rx of Carthage)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.