Active NPI
Cuong Dinh, PHARMACIST
- Pharmacist
- North Fort Myers, FL
National Provider Identifier
1760147987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS56068
- Practice address
- 17970 N Tamiami TRL
North Fort Myers, FL 33903-1412 - Phone
- (239) 599-3005
- NPI assigned
- Nov 2, 2021
- Last updated
- Nov 2, 2021
- 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 | PS56068 | FL | Primary |
Addresses
Primary practice location
17970 N Tamiami TRL
North Fort Myers, FL 33903-1412
Mailing address
1275 Hall Rd
North Fort Myers, FL 33903-5747
Phone (239) 848-5285
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 |
|---|---|---|---|
| PS56068 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
17970 N Tamiami Trl
North Ft Myers, FL 33903
Phone (239) 599-3005
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": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1760147987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 HALL RD",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339035747",
"telephone_number": "239-848-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17970 N TAMIAMI TRL",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339031412",
"telephone_number": "239-599-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINH",
"first_name": "CUONG",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-02",
"last_updated": "2021-11-02",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS56068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.