Thanh Duy Hoang, RPH
Individual provider Active NPI Pharmacist · Cornelia, GA
NPI 1154929487 · NPPES record last updated Oct 9, 2020
Key facts
- NPI
- 1154929487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH031962 (GA)
- Practice address
- 250 Furniture Dr
Cornelia, GA 30531 - Phone
- (706) 778-0353
- NPI assigned
- Oct 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH031962 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | RPH031962 | GA | Yes |
Addresses
Primary practice location
250 Furniture Dr
Cornelia, GA 30531
Mailing address
3708 Fern Creek Dr
Flowery Branch, GA 30542-5752
Other providers in Cornelia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.