Active NPI
Hoai Khanh Thanh Nguyen, PHARM.D.
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1457955312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS58327
- Practice address
- 5407 Blanding Blvd
Jacksonville, FL 32244-1944 - Phone
- (904) 772-8884
- NPI assigned
- Nov 22, 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 | PS58327 | FL | Primary |
Addresses
Primary practice location
5407 Blanding Blvd
Jacksonville, FL 32244-1944
Mailing address
7584 Ginger Tea TRL W
Jacksonville, FL 32244-7079
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 |
|---|---|---|---|
| PS58327 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | 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": "1606003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606003200000",
"number": "1457955312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7584 GINGER TEA TRL W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322447079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5407 BLANDING BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322441944",
"telephone_number": "904-772-8884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HOAI KHANH",
"middle_name": "THANH",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-22",
"last_updated": "2020-11-22",
"certification_date": "2020-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS58327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.