Active NPI
Phuong Hong Nguyen
- Pharmacist
- Snellville, GA
National Provider Identifier
1922610997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH031084
- Practice address
- 3505 Centerville Hwy
Snellville, GA 30039-6405 - Phone
- (770) 736-2157
- NPI assigned
- Aug 20, 2020
- Last updated
- Nov 27, 2023
- 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 | RPH031084 | GA | Primary |
Addresses
Primary practice location
3505 Centerville Hwy
Snellville, GA 30039-6405
Mailing address
15 E Fairmont Ave
Savannah, GA 31406-4712
Phone (912) 306-5031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1234 | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Snellville | WALGREEN CO |
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 |
|---|---|---|---|
| RPH031084 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3505 Centerville Hwy
Snellville, GA 30039
Phone (770) 736-2157
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": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1922610997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 E FAIRMONT AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314064712",
"telephone_number": "912-306-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 CENTERVILLE HWY",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300396405",
"telephone_number": "770-736-2157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PHUONG",
"middle_name": "HONG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2023-11-27",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH031084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1234",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Snellville",
"affiliation": "Y",
"affiliationName": "WALGREEN CO",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3505 Centerville Hwy",
"city": "Snellville",
"state": "GA",
"country_code": "US",
"postal_code": "300396405",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.