Active NPI
Xuan Thao Hoa Nguyen
- Pharmacist
- Cleveland, GA
National Provider Identifier
1427612951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH025174
- Practice address
- 662 Highway 75 S
Cleveland, GA 30528-7183 - Phone
- (706) 219-2309
- NPI assigned
- Apr 30, 2019
- Last updated
- Apr 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | RPH025174 | GA | Primary |
Addresses
Primary practice location
662 Highway 75 S
Cleveland, GA 30528-7183
Mailing address
2501 Ingram Rd
Duluth, GA 30096-4432
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH025174 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1427612951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 INGRAM RD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300964432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "662 HIGHWAY 75 S",
"city": "CLEVELAND",
"state": "GA",
"postal_code": "305287183",
"telephone_number": "706-219-2309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "XUAN THAO",
"middle_name": "HOA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH025174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.