Individual provider Active NPI

Du Phuong Thi Nguyen, RPH

  • Pharmacist
  • Hudson, FL
National Provider Identifier
1417691981
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS33566 Issued in FL
Practice address
8811 State Road 52 Ste 11
Hudson, FL 34667-6751
Phone
(727) 233-9908
Fax
(727) 233-9910
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS33566 FL Primary

Addresses

Primary practice location

8811 State Road 52 Ste 11
Hudson, FL 34667-6751

Mailing address

11060 Lynn Lake Cir
Tampa, FL 33625-5641
Phone (727) 642-6307

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS33566FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lily Care LLC CurrentSince Apr 24, 2022 Accepting new patients

Locations

8811 State Road 52
Ste 11
Hudson, FL 34667
Phone (727) 233-9908

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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1417691981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11060 LYNN LAKE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255641",
            "telephone_number": "727-642-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 STATE ROAD 52 STE 11",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676751",
            "telephone_number": "727-233-9908",
            "fax_number": "727-233-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DU PHUONG",
        "middle_name": "THI",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS33566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.