Phillip Nhuoc Thai, BS

Primary specialty

PharmacistTaxonomy code 183500000X

License

043470 Issued in NY

Practice address

10716 Continental Ave
Forest Hills, NY 11375-4725

Phone

(718) 793-2905

Fax

(718) 793-3186

NPI assigned

Feb 5, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• Duane Reade

  • Pharmacy
  • New York, NY
  • NPI 1548914351
  NPD (past)
• Duane Reade

  • Pharmacy
  • Forest Hills, NY
  • NPI 1578588059
  NPD (past)

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1831421569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107-16 CONTINENTAL AVEUE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754549",
            "telephone_number": "718-793-2905",
            "fax_number": "718-793-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10716 CONTINENTAL AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754725",
            "telephone_number": "718-793-2905",
            "fax_number": "718-793-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI",
        "first_name": "PHILLIP",
        "middle_name": "NHUOC",
        "name_prefix": "Mr.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "043470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01958043",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Tessier
• Georgelou Testado
• Ruzana Teterina
• Ashley Celine Tetiali Sr.
• Ida Tetro, MD
• Chirag Thakkar
• Dhvani Thakker, M.D.
• Alvin Joseph Thalheimer
• The Child Center of Ny, Inc.
• The Nutrition Queens, LLC

• Pharmacist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.