Mai Khue Vang
Individual provider Active NPI Pharmacist · Valdese, NC
NPI 1912415019 · NPPES record last updated Feb 4, 2025
Key facts
- NPI
- 1912415019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 29062 (NC)
- Practice address
- 301 US 70
Valdese, NC 28690 - Phone
- (828) 874-2119
- NPI assigned
- Jan 11, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29062 | NC | MD | Psychosomatic Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Current |
Accepting new patients | |
| North Carolina CVS Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 29062 | NC | Yes |
Addresses
Primary practice location
301 US 70
Valdese, NC 28690
Mailing address
1045 S College Ave
Newton, NC 28658-3514
Other providers in Valdese, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.