Individual provider Active NPI

Felicia Nguyen, PHARMD

  • Pharmacist
  • Grafton, VA
National Provider Identifier
1386292811
Registry record updated Aug 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202218345 Issued in VA
Practice address
6500 George Washington Mem Hwy Ste C
Grafton, VA 23692-2128
Phone
(757) 947-1244
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 0203016614 VA
Pharmacist 183500000X 0202218345 VA Primary

Addresses

Primary practice location

6500 George Washington Mem Hwy Ste C
Grafton, VA 23692-2128

Mailing address

322 Richter LN
Yorktown, VA 23693-2647
Phone (757) 509-0281

Other practice location 1

Platte Avenue & N Powers Blvd
Colorado Springs, CO 80916
Phone (719) 556-6660

Other practice location 2

4404 Brambleton Ave
Roanoke, VA 24018-3427
Phone (540) 776-0050

Other identifiers 1

IdentifierTypeStateIssuer
0202218345OtherVAVIRGINIA BOARD OF PHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Grafton Direct

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
0202218345VAMDPharmacist
0203016614VAMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I PastSince Sep 5, 2021 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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1386292811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 RICHTER LN",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236932647",
            "telephone_number": "757-509-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 GEORGE WASHINGTON MEM HWY STE C",
            "city": "GRAFTON",
            "state": "VA",
            "postal_code": "236922128",
            "telephone_number": "757-947-1244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Platte Avenue & N Powers Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80916",
            "country_code": "US",
            "telephone_number": "719-556-6660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4404 Brambleton Ave",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240183427",
            "country_code": "US",
            "telephone_number": "540-776-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "FELICIA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "VA",
            "license": "0203016614",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202218345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF PHARMACY",
            "identifier": "0202218345",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Grafton",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6500 George Washington Mem Hwy Ste C",
            "city": "Grafton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236922128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grafton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; 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.