Active NPI
Van Anh Nguyen Ho, PHARM.D
- Pharmacist
- Riverview, FL
National Provider Identifier
1295005791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS34807
- Practice address
- 13323 Boyette Rd
Riverview, FL 33569-5728 - Phone
- (813) 689-4498
- Fax
- (813) 689-4655
- NPI assigned
- Dec 31, 2011
- Last updated
- Dec 31, 2011
- Sex
- Female
- Sole proprietor
- No
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 | PS34807 | FL | Primary |
Addresses
Primary practice location
13323 Boyette Rd
Riverview, FL 33569-5728
Mailing address
5002 Tari Stream Way
Brandon, FL 33511-8416
Phone (813) 689-7580
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS34807 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Pharmacy of Big Bend, Inc. | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba My Pharmacy of Big Bend
- Community/Retail Pharmacy
- Brandon, FL
- NPI 1811339336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325289600000",
"number": "1295005791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5002 TARI STREAM WAY",
"city": "BRANDON",
"state": "FL",
"postal_code": "335118416",
"telephone_number": "813-689-7580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13323 BOYETTE RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335695728",
"telephone_number": "813-689-4498",
"fax_number": "813-689-4655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "VAN ANH",
"middle_name": "NGUYEN",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-31",
"last_updated": "2011-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS34807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.