Active NPI
Dung Lai Nguyen, PHARM.D
- Pharmacist
- North Palm Beach, FL
National Provider Identifier
1932704665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS40779
- Practice address
- 312 Northlake Blvd
North Palm Beach, FL 33408-5421 - Phone
- (561) 845-2186
- Fax
- (561) 845-1489
- 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 | PS40779 | FL | Primary |
Addresses
Primary practice location
312 Northlake Blvd
North Palm Beach, FL 33408-5421
Mailing address
312 Northlake Blvd
North Palm Beach, FL 33408-5421
Phone (561) 845-2186
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 |
|---|---|---|---|
| PS40779 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | 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": "1932704665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 NORTHLAKE BLVD",
"city": "NORTH PALM BEACH",
"state": "FL",
"postal_code": "334085421",
"telephone_number": "561-845-2186",
"fax_number": "561-845-1489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 NORTHLAKE BLVD",
"city": "NORTH PALM BEACH",
"state": "FL",
"postal_code": "334085421",
"telephone_number": "561-845-2186",
"fax_number": "561-845-1489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DUNG",
"middle_name": "LAI",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"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": "FL",
"license": "PS40779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Palm Beach, FL
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.