Active NPI
Phuong Thi Huynh, PHARM.D.
- Pharmacist
- Kalamazoo, MI
National Provider Identifier
1356997647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302411977
- Practice address
- 5100 Century Ave
Kalamazoo, MI 49006-5714 - Phone
- (269) 743-2308
- Fax
- (269) 743-2299
- NPI assigned
- Aug 13, 2019
- 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 | 5302411977 | MI | Primary |
Addresses
Primary practice location
5100 Century Ave
Kalamazoo, MI 49006-5714
Mailing address
10659 Biltmore LN
Portage, MI 49002-8419
Phone (734) 331-7571
Other practice location 1
705 Patricia Place Dr
Westland, MI 48185-3895
Phone (734) 331-7571
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5315213010 | Other | MI | MICHIGAN CONTROLLED SUBSTANCE LICENSE |
| 5302411977 | Other | MI | MICHIGAN PHARMACIST 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302411977 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1356997647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10659 BILTMORE LN",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490028419",
"telephone_number": "734-331-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 CENTURY AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490065714",
"telephone_number": "269-743-2308",
"fax_number": "269-743-2299"
}
],
"practiceLocations": [
{
"address_1": "705 Patricia Place Dr",
"address_purpose": "LOCATION",
"city": "Westland",
"state": "MI",
"postal_code": "481853895",
"country_code": "US",
"telephone_number": "734-331-7571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUYNH",
"first_name": "PHUONG",
"middle_name": "THI",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-13",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302411977",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN CONTROLLED SUBSTANCE LICENSE",
"identifier": "5315213010",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN PHARMACIST LICENSE",
"identifier": "5302411977",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.