Active NPI
Quyen Nguyen, RPH
- Pharmacist
- Greenville, SC
National Provider Identifier
1225749658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43640
- Practice address
- 3901 Pelham Rd
Greenville, SC 29615-5004 - Phone
- (864) 288-3672
- NPI assigned
- Dec 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 43640 | SC | Primary |
Addresses
Primary practice location
3901 Pelham Rd
Greenville, SC 29615-5004
Mailing address
3901 Pelham Rd
Greenville, SC 29615-5004
Phone (864) 373-4349
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | RxConnect | SOUTH CAROLINA CVS PHARMACY LLC |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43640 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1225749658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 PELHAM RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155004",
"telephone_number": "864-373-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 PELHAM RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155004",
"telephone_number": "864-288-3672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "QUYEN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "43640",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "RxConnect",
"affiliation": "Y",
"affiliationName": "SOUTH CAROLINA CVS PHARMACY LLC",
"address_1": "3901 Pelham Rd",
"city": "Greenville",
"state": "SC",
"country_code": "US",
"postal_code": "296155004",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.