Thao T Huynh
Individual provider Active NPI Pharmacist · Malden, MA
NPI 1609188366 · NPPES record last updated Apr 22, 2021
Key facts
- NPI
- 1609188366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH27658 (MA)
- Practice address
- 904 Salem St
Malden, MA 02148-4438 - Phone
- (781) 605-1775
- NPI assigned
- Jul 10, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH27658 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maplewood Wellness Pharmacy Inc | Current | Accepting new patients |
Locations
904 Salem St
Malden, MA 02148
Phone (781) 605-1775
904 Salem St
#A
Malden, MA 02148
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH27658 | MA | Yes |
Addresses
Primary practice location
904 Salem St
Malden, MA 02148-4438
Mailing address
904 Salem St # a
Malden, MA 02148-4438
Phone (781) 605-1775
Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.