Sally D Ngo, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302036113 Issued in MI

Practice address

6480 28TH Ave
Hudsonville, MI 49426-8800

Phone

(616) 669-8518

Fax

(616) 669-4869

NPI assigned

Sep 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Fare, LLC

  • Community/Retail Pharmacy
  • Owosso, MI
  • NPI 1508001207
  NPD (past)
• Family Fare, LLC

  • Pharmacy
  • Hudsonville, MI
  • NPI 1568563294
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Wyoming, MI
  • NPI 1225215254
  NPD (past)
• Walgreen Co

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

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1619259637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 28TH AVE",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268800",
            "telephone_number": "616-669-8518",
            "fax_number": "616-669-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 28TH AVE",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268800",
            "telephone_number": "616-669-8518",
            "fax_number": "616-669-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "SALLY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2023-08-07",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302036113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN-BOARD OF PHARMACY",
            "identifier": "5302036113",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Monahon, MA, CCC-SLP, CBIS
• Carolyn Diane Moore, MA, CCC-SLP
• Ellen Moore, MD
• Amy Elizabeth Mulder, PA-C
• New Pathways Counseling, LLC.
• Anna Nguyen
• Brooke Nicholson, LLC
• Mary J Niemeyer, FNP
• Phillip Nienhuis, LMSW
• Molly Jean Norton, RDN

• Pharmacist in Hudsonville, MI
• Providers in Hudsonville, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.