Active NPI
Judy Nguyen, PHARMD
- Pharmacist
- Conyers, GA
National Provider Identifier
1447853809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- ROH031640
- Practice address
- 2195 Highway 20 SE
Conyers, GA 30013-2028 - Phone
- (770) 785-6471
- NPI assigned
- Nov 18, 2020
- 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 | ROH031640 | GA | Primary |
Addresses
Primary practice location
2195 Highway 20 SE
Conyers, GA 30013-2028
Mailing address
1003 Cotton Plantation Dr
Stockbridge, GA 30281-4876
Phone (404) 644-6531
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 |
|---|---|---|---|
| ROH031640 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1447853809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 COTTON PLANTATION DR",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302814876",
"telephone_number": "404-644-6531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 HIGHWAY 20 SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132028",
"telephone_number": "770-785-6471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JUDY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "ROH031640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.