Individual provider Active NPI

Anh Nguyen

  • Pharmacist
  • New York, NY
National Provider Identifier
1780966713
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT.0011692 Issued in CT
Practice address
1498 York Ave
New York, NY 10075-0703
Phone
(212) 879-8990
NPI assigned
Sep 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 056693 NY
Pharmacist 183500000X PCT.0011692 CT Primary

Addresses

Primary practice location

1498 York Ave
New York, NY 10075-0703

Mailing address

71 W 23Rd St
New York, NY 10010-4102
Phone (212) 243-0129

Other practice location 1

71 W 23rd St
New York, NY 10010-4102
Phone (212) 243-0129

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

LicenseStateTypeSpecialty
PCT.0011692CTMDPharmacist
056693NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Duane Reade CurrentSince Apr 24, 2022 Accepting new patients
Duane Reade PastSince Oct 27, 2019 Accepting new patients

Locations

1498 York Ave
New York, NY 10075
Phone (212) 879-8990

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": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1780966713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 W 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104102",
            "telephone_number": "212-243-0129",
            "fax_number": "212-243-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750703",
            "telephone_number": "212-879-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 W 23rd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100104102",
            "country_code": "US",
            "telephone_number": "212-243-0129",
            "fax_number": "212-243-2467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "056693",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0011692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.