Active NPI
Baothu V Nguyen, PHARMD
- Pharmacist
- Dallas, GA
National Provider Identifier
1649931502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033502
- Practice address
- 303 Charlie Watts Dr
Dallas, GA 30157-4907 - Phone
- (770) 443-4886
- NPI assigned
- Jan 4, 2022
- Last updated
- Jan 4, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH033502 | GA | Primary |
Addresses
Primary practice location
303 Charlie Watts Dr
Dallas, GA 30157-4907
Mailing address
3720 Garnet Way
Snellville, GA 30039-6293
Phone (404) 245-2058
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH033502 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
303 Charlie Watts Dr
Dallas, GA 30157
Phone (770) 443-4886
Organizations & group practices 2
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": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1649931502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3720 GARNET WAY",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300396293",
"telephone_number": "404-245-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 CHARLIE WATTS DR",
"city": "DALLAS",
"state": "GA",
"postal_code": "301574907",
"telephone_number": "770-443-4886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "BAOTHU",
"middle_name": "V",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-04",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.