Dieuthao Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24407 Issued in TX

Legal business name

DIEUTHAO PHARMACY

Doing business as

DT Pharmacy

Practice address

3911 Woodlawn Ave
Pasadena, TX 77504-2054

Phone

(832) 775-0060

Fax

(713) 947-0062

NPI assigned

May 8, 2006

Last updated

Sep 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dieuthao Nguyen, PHARM D.

Title

Owner

Phone

(832) 725-8216

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DT Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1114976198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 WOODLAWN AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042054",
            "telephone_number": "832-775-0060",
            "fax_number": "713-947-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 WOODLAWN AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042054",
            "telephone_number": "832-775-0060",
            "fax_number": "713-947-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEUTHAO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DIEUTHAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-725-8216",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149011",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098806",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DT Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iran Diaz Ramirez, NP
• Pedro J Diaz-Marchan, M.D.
• Joseph Anthony Dibartolo, DDS
• Cindy Dickerson, LPC
• James Monroe Dieter III, D.C., N.P.-C
• Marisol Diggs
• Milca Dimanche
• Diverse Recovery
• Mylene Santos Dizon
• DK Sanders, PSYD & Associates, Inc.

• Community/Retail Pharmacy in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.