Active NPI
Kim Nguyen
- Pharmacist
- Port Charlotte, FL
National Provider Identifier
1447863766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS59144
- Practice address
- 1800 Tamiami TRL
Port Charlotte, FL 33948-1043 - Phone
- (941) 625-4847
- NPI assigned
- Aug 26, 2020
- Last updated
- Aug 26, 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 | PS59144 | FL | Primary |
Addresses
Primary practice location
1800 Tamiami TRL
Port Charlotte, FL 33948-1043
Mailing address
18422 Kerrville Cir
Port Charlotte, FL 33948-9530
Phone (801) 644-0248
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.walgreens.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| PS59144 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, 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": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1447863766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18422 KERRVILLE CIR",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339489530",
"telephone_number": "801-644-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 TAMIAMI TRL",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481043",
"telephone_number": "941-625-4847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59144",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.walgreens.com",
"affiliation": "N",
"endpointDescription": "Walgreens pharmacy",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Walgreens",
"address_1": "1800 Tamiami Trl",
"city": "Port Charlotte",
"state": "FL",
"country_code": "US",
"postal_code": "339481043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Port Charlotte, FL
- New Hope Natural Healing Center Inc
- New Hope Natural Healing Center Inc
- Nicholas John Newbold Jr., ARNP
- Newtone Hearing Center, Inc
- Daisy CHI Nguyen, RPH
- Luong P Nguyen, MD
- Nic 4 Royal Palm Leasing LLC (Royal Palm Retirement Centre)
- Nic 4 Village Place Leasing LLC (Village Place Retirement)
- Katherine Jean Nicholsen, HAS
- Marcello Nicolosi, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.