Truc Grace Phuong Nguyen, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS58626 Issued in FL

Practice address

103 S Orange Ave
Green Cove Springs, FL 32043-4127

Phone

(904) 529-9156

NPI assigned

Jun 12, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Walgreens #10469

  • Pharmacy
  • Green Cove Springs, FL
  • NPI 1760609523
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1578188702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 COOPERS HAWK WAY",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688790",
            "telephone_number": "630-414-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S ORANGE AVE",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320434127",
            "telephone_number": "904-529-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRUC",
        "middle_name": "GRACE PHUONG",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Phone",
            "affiliation": "Y",
            "affiliationName": "WALGREEN CO",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "103 S Orange Ave",
            "city": "Green Cove Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320434127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shahriar A Nabizadeh, MD
• Mohammed Faisal Naser, D.D.S, M.P.H.
• Karen Reynolds Nelson, A.P.R.N.
• Scott Allen Nelson, PA
• Diem-Phuc Tran Nguyen, MD
• Rachel Nieves, RN, IBCLC
• Oak Street Opco LLC (Aviata at Green Cove Springs)
• Oak Terrace Health Care Associates LLC (Governor's Creek Health and Rehabilitation)
• Breonna Oxendine, RPH
• Karen Patterson

• Pharmacist in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.