Active NPI
Rose Mac-Nguyen, PHARM.D.
- Pharmacist
- Randolph, MA
National Provider Identifier
1831729482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH233496
- Practice address
- 40 Teed Dr
Randolph, MA 02368-4202 - Phone
- (781) 805-8711
- NPI assigned
- Jan 23, 2020
- Sex
- Female
- 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 | PH233496 | MA | Primary |
Addresses
Primary practice location
40 Teed Dr
Randolph, MA 02368-4202
Mailing address
3 Port Norfolk St
Dorchester, MA 02122-3609
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH233496 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1831729482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PORT NORFOLK ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021223609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 TEED DR",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684202",
"telephone_number": "781-805-8711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAC-NGUYEN",
"first_name": "ROSE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-23",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH233496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.