Active NPI
Vy Thuy Thi Dang
- Pharmacist
- Orange Park, FL
National Provider Identifier
1649943887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS61499
- Practice address
- 42 Blanding Blvd
Orange Park, FL 32073-2619 - Phone
- (904) 298-2103
- Fax
- (904) 298-2108
- NPI assigned
- Jul 25, 2021
- Last updated
- Dec 23, 2022
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS61499 | FL | Primary |
Addresses
Primary practice location
42 Blanding Blvd
Orange Park, FL 32073-2619
Mailing address
42 Blanding Blvd
Orange Park, FL 32073-2619
Phone (904) 298-2103
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | business |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS61499 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, 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": "1627171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1649943887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 BLANDING BLVD",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732619",
"telephone_number": "904-298-2103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 BLANDING BLVD",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732619",
"telephone_number": "904-298-2103",
"fax_number": "904-298-2108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "VY",
"middle_name": "THUY THI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-25",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS61499",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "business",
"affiliation": "N",
"address_1": "42 Blanding Blvd",
"city": "Orange Park",
"state": "FL",
"country_code": "US",
"postal_code": "320732619",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Orange Park, FL
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.