Thuy Trang Bui
Individual provider Active NPI Pharmacist · Bristow, VA
NPI 1649790551 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1649790551
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202215612 (VA)
- Practice address
- 9150 Devlin Rd
Bristow, VA 20136-1106 - Phone
- (860) 633-4186
- NPI assigned
- Jun 21, 2017
- Reactivated
- Aug 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 0202215612 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
9150 Devlin Rd
Bristow, VA 20136
Phone (703) 369-2049
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202215612 | VA | Yes |
Addresses
Primary practice location
9150 Devlin Rd
Bristow, VA 20136-1106
Mailing address
9150 Devlin Rd
Bristow, VA 20136-1106
Phone (703) 369-2049
Other providers in Bristow, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.