Individual provider Active NPI

Ann Thi Duong, PHARMD

  • Pharmacist
  • Greenville, SC
National Provider Identifier
1841854171
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43377 Issued in SC
Practice address
2700 Wade Hampton Blvd
Greenville, SC 29615-1152
Phone
(864) 268-7123
Fax
(864) 268-7163
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 59752 CA
Pharmacist 183500000X 43377 SC Primary

Addresses

Primary practice location

2700 Wade Hampton Blvd
Greenville, SC 29615-1152

Mailing address

8 Dean Williams Rd
Travelers Rest, SC 29690-9281
Phone (626) 641-9273

Other identifiers 1

IdentifierTypeStateIssuer
232620OtherCANABP

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ann.duong@cvshealth.com Health Information Exchange (HIE) CVS State Capital, L.L.C.

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

LicenseStateTypeSpecialty
59752CAMDGeneral Practice Dentistry
43377SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Oct 1, 2023 Accepting new patients
Walgreen Co PastSince Oct 1, 2023 Accepting new patients
Garfield Beach CVS, L.L.C. Past Accepting new patients
Garfield Beach CVS LLC Past Accepting new patients

Organizations & group practices 4

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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1841854171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DEAN WILLIAMS RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909281",
            "telephone_number": "626-641-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WADE HAMPTON BLVD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151152",
            "telephone_number": "864-268-7123",
            "fax_number": "864-268-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "ANN",
        "middle_name": "THI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "59752",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "43377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "232620",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ann.duong@cvshealth.com",
            "affiliation": "Y",
            "endpointDescription": "work e-mail",
            "affiliationName": "CVS State Capital, L.L.C.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "336 N Milpas St",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931033257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.