Individual provider Active NPI

Nam-Du Nguyen

  • Pharmacist
  • Silver Spring, MD
National Provider Identifier
1700446127
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26170 Issued in MD
Practice address
1290 E West Hwy
Silver Spring, MD 20910-3242
Phone
(301) 588-6261
NPI assigned
Jun 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26170 MD Primary

Addresses

Primary practice location

1290 E West Hwy
Silver Spring, MD 20910-3242

Mailing address

1290 E West Hwy
Silver Spring, MD 20910-3242
Phone (301) 588-6261

Other identifiers 1

IdentifierTypeStateIssuer
26170OtherMARYLAND BOARD OF PHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cvshealth.com

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

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1700446127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 E WEST HWY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103242",
            "telephone_number": "301-588-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 E WEST HWY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103242",
            "telephone_number": "301-588-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NAM-DU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "26170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF PHARMACY",
            "identifier": "26170",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cvshealth.com",
            "affiliation": "N",
            "address_1": "1290 E West Hwy",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209103242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.