Active NPI
Kimcuc Thi Nguyen, PHARM.D.
- Pharmacist
- Towson, MD
National Provider Identifier
1437612611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26108
- Practice address
- 939 York Rd
Towson, MD 21204-2665 - Phone
- (410) 823-8790
- NPI assigned
- Apr 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP453204 | PA | |
| Pharmacist | 183500000X | 26108 | MD | Primary |
Addresses
Primary practice location
939 York Rd
Towson, MD 21204-2665
Mailing address
939 York Rd
Towson, MD 21204-2665
Phone (410) 823-8790
Other practice location 1
7201 Castor Ave
Philadelphia, PA 19149-1107
Phone (215) 554-6750
Other practice location 2
1607 Bridge St
Philadelphia, PA 19124-1360
Phone (215) 537-0169
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP453204 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co. | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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": "1555113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1437612611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 YORK RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042665",
"telephone_number": "410-823-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 YORK RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042665",
"telephone_number": "410-823-8790"
}
],
"practiceLocations": [
{
"address_1": "7201 Castor Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191491107",
"country_code": "US",
"telephone_number": "215-554-6750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1607 Bridge St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191241360",
"country_code": "US",
"telephone_number": "215-537-0169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "KIMCUC",
"middle_name": "THI",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-13",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP453204",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.