Active NPI
Michael Nguyen Dong
- Pharmacist
- Atlanta, TX
National Provider Identifier
1891390506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65784
- Practice address
- 101 Loop 59
Atlanta, TX 75551-2009 - Phone
- (903) 799-5024
- NPI assigned
- Dec 1, 2020
- Last updated
- Dec 1, 2020
- Sex
- Male
- 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 | 65784 | TX | Primary |
Addresses
Primary practice location
101 Loop 59
Atlanta, TX 75551-2009
Mailing address
6210 Gibson LN Apt 6202
Texarkana, TX 75503-1257
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
| License | State | Type | Specialty |
|---|---|---|---|
| 65784 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | 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": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1891390506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 GIBSON LN APT 6202",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755031257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LOOP 59",
"city": "ATLANTA",
"state": "TX",
"postal_code": "755512009",
"telephone_number": "903-799-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONG",
"first_name": "MICHAEL",
"middle_name": "NGUYEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "65784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, TX
- Lucas Cummings, RN
- CVS Pharmacy Inc (CVS Pharmacy # 01368)
- Deborah James Professional Counseling PLLC, LCDC,LPC
- Distinct Home Health Care Inc (Marshalls Home Medical Equipment)
- Ashlyn Kay Dodson
- Lydia Downs
- East Texas Border Health Clinic (Genesis Prime Care)
- East Texas Border Health Clinic (Genesis PrimeCare)
- Kelsey Elkins, PHARM.D.
- Ellington Memorial Clinic, LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.