Active NPI
Katelyn Nguyen, PHARMD
- Pharmacist
- Centreville, VA
National Provider Identifier
1841675345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202214218
- Practice address
- 13926 Lee Hwy
Centreville, VA 20120-2415 - Phone
- (703) 259-6200
- NPI assigned
- Jul 25, 2015
- Last updated
- Jan 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 0202214218 | VA | Primary |
Addresses
Primary practice location
13926 Lee Hwy
Centreville, VA 20120-2415
Mailing address
13926 Lee Hwy
Centreville, VA 20120-2415
Phone (571) 490-6014
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 |
|---|---|---|---|
| 0202214218 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1437782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1841675345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13926 LEE HWY",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201202415",
"telephone_number": "571-490-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13926 LEE HWY",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201202415",
"telephone_number": "703-259-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KATELYN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-25",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202214218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centreville, VA
- Carlen NG, RPH
- Gabrielle Han Quynh Nang Nghiem, PT
- Amy Nguyen, LCSW
- Doantrang T Nguyen, DDS
- Jennifer Caspers Nguyen, DDS
- Linhlan Cao Nguyen, PHARMD
- Sandor Shawn Niemann, MD
- NMG Affiliate Practice I, LLC (Novant Health UVA Health System Urgent Care & Occupational Medicine)
- NMS Transit Services Inc (Metro Med)
- NMS Transit Services Inc. (Metro Med)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.