Individual provider Active NPI

Hung T Huynh, B.S. PHARM

  • Pharmacist
  • Byron Center, MI
National Provider Identifier
1205158516
Registry record updated Feb 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302032469 Issued in MI
Practice address
701 68TH St SW
Byron Center, MI 49315-8372
Phone
(616) 281-8212
Fax
(616) 281-0523
NPI assigned
Feb 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302032469 MI Primary

Addresses

Primary practice location

701 68TH St SW
Byron Center, MI 49315-8372

Mailing address

4477 Versatile CT SW
Wyoming, MI 49418-8774
Phone (616) 531-3342

Other identifiers 1

IdentifierTypeStateIssuer
5302032469OtherMISTATE LICENSE

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
Credentials
Bachelor of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302032469MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1267315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267315200000",
    "number": "1205158516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4477 VERSATILE CT SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494188774",
            "telephone_number": "616-531-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 68TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158372",
            "telephone_number": "616-281-8212",
            "fax_number": "616-281-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "HUNG",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "B.S. PHARM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-28",
        "last_updated": "2010-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302032469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5302032469",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron Center, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2010; 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.