Active NPI
Phuong Nhu Ngo, PHARMD
- Community/Retail Pharmacy
- Des Moines, IA
National Provider Identifier
1649937293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 24340
- Practice address
- 4121 Fleur Dr
Des Moines, IA 50321-2301 - Phone
- (515) 285-5927
- NPI assigned
- Nov 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 24340 | IA | Primary |
Addresses
Primary practice location
4121 Fleur Dr
Des Moines, IA 50321-2301
Mailing address
4415 Douglas Ave
Des Moines, IA 50310-2717
Phone (515) 279-4739
Other practice location 1
1320 E Euclid Ave
Des Moines, IA 50316-1218
Phone (515) 265-5946
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 |
|---|---|---|---|
| 24340 | IA | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Community/Retail Pharmacy | Past | Accepting new patients |
| Walgreen Co | Community/Retail Pharmacy | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1649937293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 DOUGLAS AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503102717",
"telephone_number": "515-279-4739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4121 FLEUR DR",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503212301",
"telephone_number": "515-285-5927"
}
],
"practiceLocations": [
{
"address_1": "1320 E Euclid Ave",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503161218",
"country_code": "US",
"telephone_number": "515-265-5946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGO",
"first_name": "PHUONG",
"middle_name": "NHU",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-18",
"last_updated": "2022-12-23",
"certification_date": "2021-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IA",
"license": "24340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.