Active NPI
Kim Hoang Nguyen, PHARMD
- Pharmacist
- Charlotte, NC
National Provider Identifier
1447502208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25268
- Practice address
- 13845 Conlan Cir
Charlotte, NC 28277-2705 - Phone
- (704) 544-2092
- NPI assigned
- Oct 3, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25268 | NC | Primary |
Addresses
Primary practice location
13845 Conlan Cir
Charlotte, NC 28277-2705
Mailing address
13845 Conlan Cir
Charlotte, NC 28277-2705
Other practice location 1
6428 Rea Rd
Charlotte, NC 28277-2528
Phone (704) 541-5713
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 |
|---|---|---|---|
| 25268 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| North Carolina CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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": "1349222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1447502208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13845 CONLAN CIR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13845 CONLAN CIR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772705",
"telephone_number": "704-544-2092"
}
],
"practiceLocations": [
{
"address_1": "6428 Rea Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282772528",
"country_code": "US",
"telephone_number": "704-541-5713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "KIM",
"middle_name": "HOANG",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-03",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "25268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.