Active NPI
Quyen Pham Chuong, PHARM. D
- Pharmacist
- Grand Bay, AL
National Provider Identifier
1467721621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16567
- Practice address
- 12550 Highway 90
Grand Bay, AL 36541-5609 - Phone
- (251) 865-1429
- Fax
- (251) 865-1478
- NPI assigned
- Dec 17, 2011
- Last updated
- Dec 17, 2011
- 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 | 16567 | AL | Primary |
Addresses
Primary practice location
12550 Highway 90
Grand Bay, AL 36541-5609
Mailing address
12550 Highway 90
Grand Bay, AL 36541-5609
Phone (251) 865-1429
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 |
|---|---|---|---|
| 16567 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1324080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324080000000",
"number": "1467721621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12550 HIGHWAY 90",
"city": "GRAND BAY",
"state": "AL",
"postal_code": "365415609",
"telephone_number": "251-865-1429",
"fax_number": "251-865-1478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12550 HIGHWAY 90",
"city": "GRAND BAY",
"state": "AL",
"postal_code": "365415609",
"telephone_number": "251-865-1429",
"fax_number": "251-865-1478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUONG",
"first_name": "QUYEN",
"middle_name": "PHAM",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-17",
"last_updated": "2011-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "16567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Bay, AL
- Mark Winton Barton, R.PH.
- BHG Lxxii, LLC (BHG Medical Services - Grand Bay)
- Bienville Orthopaedic Specialists, LLC
- Bio-Medical Applications of Alabama, Inc. (Fresenius Medical Care South Mobile)
- Shane Champion
- Gail L Cook
- Tina Crane, PMHNP-BC
- Penny Xuan Dupre, M.D.
- Vantrell Terrell Fox
- Grand Bay Convalescent Home Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.