Julien Van Nguyen, PHARMD
Individual provider Active NPI Pharmacist · Hampton, SC
NPI 1770067969 · NPPES record last updated Sep 24, 2018
Key facts
- NPI
- 1770067969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 37808 (SC)
- Practice address
- 810 Elm St E
Hampton, SC 29924-2610 - Phone
- (803) 914-0318
- Fax
- (803) 914-0311
- NPI assigned
- Sep 24, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37808 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort Pharmacy and Compounding LLC | Past | Accepting new patients | |
| Palmetto Pharmacy Enterprises LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37808 | SC | Yes |
Addresses
Primary practice location
810 Elm St E
Hampton, SC 29924-2610
Mailing address
10107 Tennyson LN
Savannah, GA 31405-0350
Phone (843) 902-4717
NPI Registry JSON
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1770067969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10107 TENNYSON LN",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314050350",
"telephone_number": "843-902-4717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 ELM ST E",
"city": "HAMPTON",
"state": "SC",
"postal_code": "299242610",
"telephone_number": "803-914-0318",
"fax_number": "803-914-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JULIEN",
"middle_name": "VAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-24",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.