Active NPI
Ivette Nah Ngum, PHARMD
- Pharmacist
- Snellville, GA
National Provider Identifier
1508341074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 030423
- Practice address
- 3036 Excelsior CT
Snellville, GA 30039-6320 - Phone
- (404) 447-7318
- NPI assigned
- Oct 1, 2018
- Last updated
- Oct 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 030423 | GA | Primary |
Addresses
Primary practice location
3036 Excelsior CT
Snellville, GA 30039-6320
Mailing address
3036 Excelsior CT
Snellville, GA 30039-6320
Phone (404) 447-7318
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 |
|---|---|---|---|
| 030423 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1508341074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3036 EXCELSIOR CT",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300396320",
"telephone_number": "404-447-7318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3036 EXCELSIOR CT",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300396320",
"telephone_number": "404-447-7318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUM",
"first_name": "IVETTE",
"middle_name": "NAH",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-01",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "030423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
- Next Step Up Corp (Coney Island Homecare Home Health Georgia)
- Next Step Up Corp (Coney Island Homecare Home Health Hawaii)
- Next Step Up Corp
- Next Step Up Corp (Coney Island Homecare Hospice Georgia)
- Next Step Up Corp (Platinum State Non-Emergency Medical Transportation)
- Cindy Nguyen-Hoang
- Cuc Nguyen
- Kevin CV Nguyen, PHARMD
- Lee Hoang Nguyen, PHARM. D.
- Phuong Hong Nguyen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.