Kenneth Dinh Nguyen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH033320 Issued in GA

Practice address

912 Ward St W
Douglas, GA 31533-3516

Phone

(912) 384-2088

NPI assigned

Oct 26, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Georgia CVS Pharmacy, L.L.C.

  • Pharmacy
  • Douglas, GA
  • NPI 1427151257
  NPD
• Georgia CVS Pharmacy L.L.C

  • Pharmacy
  • Pooler, GA
  • NPI 1578009130
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1467116525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 WARD ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333516",
            "telephone_number": "912-384-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 WARD ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333516",
            "telephone_number": "912-384-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KENNETH",
        "middle_name": "DINH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH033320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Vision, Inc.
• Romulo P Navarro, MD
• Nephrology Group Consultants
• Nephrology Group, LLC
• Hillary Reid Newland Jr., M.D.
• Thaihang Nguyen, DO
• James Stephen Nobles, P.A.
• Katherine Joann Norris
• Walker Reid Nugent
• Mallory Lynn O'Brien, FNP-C

• Pharmacist in Douglas, GA
• Providers in Douglas, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.