Organization Active NPI

Tu Quynh Pharmacy, Inc.

Doing business as Tu Quynh Pharmacy

  • Pharmacist
  • New York, NY
National Provider Identifier
1255494589
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
049472 Issued in NY
Legal business name
TU QUYNH PHARMACY, INC.
Doing business as
Tu Quynh Pharmacy
Practice address
230 Grand St # A1-2
New York, NY 10013-4241
Phone
(212) 219-8998
Fax
(212) 219-3822
NPI assigned
Dec 18, 2006
Last updated
Sep 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Dr. Thao Kim Doan, PHARM.D.NPI 1003195629
Title
President
Phone
(212) 219-8998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 049472 NY Primary

Addresses

Primary practice location

230 Grand St # A1-2
New York, NY 10013-4241

Mailing address

230 Grand St # A1-2
New York, NY 10013-4241
Phone (212) 219-8998

Other identifiers 1

IdentifierTypeStateIssuer
02657990MedicaidNY

Other names 1

  • TU QUYNH PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930030861 NY DME Supplier - Pharmacy 2769693704 Practice locations: New York, NY
O20240410000647 NY Part B Supplier - Pharmacy 2769693704 Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

230 Grand St
New York, NY 10013
Phone (212) 219-8998

230 Grand St
#A12
New York, NY 10013
Phone (212) 219-8998

230 Grand St
Unit A1
New York, NY 10013
Phone (212) 219-8998

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1255494589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 GRAND ST # A1-2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134241",
            "telephone_number": "212-219-8998",
            "fax_number": "212-219-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GRAND ST # A1-2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134241",
            "telephone_number": "212-219-8998",
            "fax_number": "212-219-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TU QUYNH PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "THAO",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-219-8998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02657990",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TU QUYNH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.