Active NPI
Tu Quynh Pharmacy, Inc.
Doing business as Tu Quynh Pharmacy
- Pharmacist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 049472
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02657990 | Medicaid | NY |
Other names 1
- TU QUYNH PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- New York, NY
- NPI 1003195629
-
- Pharmacotherapy Pharmacist
- New York, NY
- NPI 1932425527
-
- Pharmacist
- New York, NY
- NPI 1174845994
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.