Individual provider Active NPI

Elizabeth Linh Phuong Nguyen

  • Pharmacist
  • Hagerstown, MD
National Provider Identifier
1639727811
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26798 Issued in MD
Practice address
13403 Volvo Way
Hagerstown, MD 21742-3810
Phone
(240) 500-3764
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26798 MD Primary

Addresses

Primary practice location

13403 Volvo Way
Hagerstown, MD 21742-3810

Mailing address

13403 Volvo Way
Hagerstown, MD 21742-3810
Phone (240) 500-3764

Other practice location 1

1075 Seven Locks Rd
Potomac, MD 20854-2903
Phone (301) 838-2790

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

LicenseStateTypeSpecialty
26798MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1639727811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13403 VOLVO WAY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423810",
            "telephone_number": "240-500-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13403 VOLVO WAY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423810",
            "telephone_number": "240-500-3764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 Seven Locks Rd",
            "address_purpose": "LOCATION",
            "city": "Potomac",
            "state": "MD",
            "postal_code": "208542903",
            "country_code": "US",
            "telephone_number": "301-838-2790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ELIZABETH LINH",
        "middle_name": "PHUONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "26798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.