Individual provider Active NPI

Quynh CHI N DO, DOCTOR OF PHARMACY

  • Pharmacist
  • Norcross, GA
National Provider Identifier
1386892883
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH022211 Issued in GA
Practice address
5456 Jimmy Carter Blvd
160
Norcross, GA 30093-1543
Phone
(770) 807-7779
Fax
(770) 825-9967
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH022211 GA Primary

Addresses

Primary practice location

5456 Jimmy Carter Blvd
160
Norcross, GA 30093-1543

Mailing address

3675 Bob Hannah Dr
Lawrenceville, GA 30044-3380
Phone (770) 807-7779

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

State licenses

LicenseStateTypeSpecialty
RPH022211GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Pharmacy LLC Current Accepting new patients

Locations

5456 Jimmy Carter Blvd
Ste 160
Norcross, GA 30093
Phone (770) 807-7779

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1386892883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 BOB HANNAH DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443380",
            "telephone_number": "770-807-7779",
            "fax_number": "770-825-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5456 JIMMY CARTER BLVD",
            "address_2": "160",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931543",
            "telephone_number": "770-807-7779",
            "fax_number": "770-825-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "QUYNH CHI",
        "middle_name": "N",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH022211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.