Active NPI
Ngan Kim Nguyen
- Pharmacist
- Huntsville, AL
National Provider Identifier
1598438269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23278
- Practice address
- 6140A University Dr NW
Huntsville, AL 35806-1710 - Phone
- (256) 837-7272
- NPI assigned
- Jul 28, 2021
- Last updated
- Sep 28, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 45061 | TN | |
| Pharmacist | 183500000X | 23278 | AL | Primary |
Addresses
Primary practice location
6140A University Dr NW
Huntsville, AL 35806-1710
Mailing address
124 Riley Creek Rd
Tullahoma, TN 37388-8871
Phone (931) 374-2229
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23278 | AL | MD | Pharmacist |
| 45061 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee CVS Pharmacy, L.L.C. | 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": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1598438269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 RILEY CREEK RD",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373888871",
"telephone_number": "931-374-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6140A UNIVERSITY DR NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358061710",
"telephone_number": "256-837-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "NGAN",
"middle_name": "KIM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "45061",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "23278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.