Diem Thuy Quynh Phan

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH025000 Issued in GA

Practice address

525 Valleywood Rd
Tyrone, GA 30290-2449

Phone

(770) 487-4226

NPI assigned

Mar 29, 2011

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2011.

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1194014381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 HYACINTH LN",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693958",
            "telephone_number": "404-680-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 VALLEYWOOD RD",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902449",
            "telephone_number": "770-487-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "DIEM",
        "middle_name": "THUY QUYNH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH025000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Paige, LPC
• Larry Gene Parkman, RPH
• Kathryn Elizabeth Partridge
• Karen Y Paz
• Gabriel Perez-Gonzalez, DMD
• Stacey Phillips
• Phyzer Homehealth Services,Inc
• Pamela Elder Pinckney
• Samanatha Pinkston
• Marat V Plotkin, MD

• All providers in Tyrone, GA
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.