Individual provider Active NPI

Duc Thanh Nguyen, PHARMD

  • Pharmacist
  • Marietta, GA
National Provider Identifier
1427724582
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
023518 Issued in GA
Practice address
1815 S Cobb Dr SE Ste 102&103
Marietta, GA 30060-4958
Phone
(770) 989-1332
Fax
(770) 989-1336
NPI assigned
Aug 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 023518 GA Primary

Addresses

Primary practice location

1815 S Cobb Dr SE Ste 102&103
Marietta, GA 30060-4958

Mailing address

2941 Phillips CT
Marietta, GA 30068-3161

Electronic endpoints 7

TypeEndpointUseAffiliation
CONNECT URL NA
CONNECT URL NA
CONNECT URL NA
CONNECT URL NA
CONNECT URL NA
CONNECT URL NA
CONNECT URL NA

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
023518GAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1427724582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 PHILLIPS CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300683161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S COBB DR SE STE 102&103",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300604958",
            "telephone_number": "770-989-1332",
            "fax_number": "770-989-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUC",
        "middle_name": "THANH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "023518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "1815 S Cobb Dr SE Ste 102&103",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300604958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "1815 S Cobb Dr SE Ste 102&103",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300604958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "1815 S Cobb Dr SE Ste 102&103",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300604958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "1815 S Cobb Dr SE Ste 102&103",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300604958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "1815 S Cobb Dr SE Ste 102&103",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300604958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "1815 S Cobb Dr SE Ste 102&103",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300604958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "1815 S Cobb Dr SE Ste 102&103",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300604958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.