Individual provider Active NPI

Phuong Thi Huynh, PHARM.D.

  • Pharmacist
  • Kalamazoo, MI
National Provider Identifier
1356997647
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302411977 Issued in MI
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

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5315213010OtherMIMICHIGAN CONTROLLED SUBSTANCE LICENSE
5302411977OtherMIMICHIGAN 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

LicenseStateTypeSpecialty
5302411977MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Aug 1, 2019 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.

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.

Verify at the official NPI Registry.