MS. KIM PHUONG THI NGUYEN (NPI# 1487102174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487102174 |
Entity Type | Individual |
Full Name | MS. KIM PHUONG THI NGUYEN |
Credential | PHARMD |
Practice Address |
132 Old Norton Rd Ste 200 Fayetteville GA 30215-4873 |
Mailing Address |
115 Chablis Ct Fayetteville GA 30214-7120 |
Practice Telephone | 6788171117 |
Mailing Telephone | 4048250989 |
Enumeration Date | 2016-09-12 |
Last Update Date | 2016-09-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835X0200X |
Pharmacist Specialization: Oncology |
025736 | GA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467851428 | Kim Phuong Thi Nguyen | Pharmacist | 144 W 134th St, Cut Off, LA 70345-4155 | 2014-08-15 |
1548352040 | Kim Phuong Thi Nguyen | Optometrist | 15333 Culver Dr, Suite 690, Irvine, CA 92604-3078 | 2006-09-29 |
Street Address |
132 OLD NORTON RD STE 200 |
City | FAYETTEVILLE |
State | GA |
Zip Code | 30215-4873 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184602856 | Shyam L Khanwani | Internal Medicine | 132 Old Norton Rd Ste 200, Fayetteville, GA 30215-4873 | 2006-01-04 |
1720548704 | Paige B. Kenway | Nurse Practitioner | 132 Old Norton Rd Ste 200, Fayetteville, GA 30215-4873 | 2019-03-25 |
1093885873 | Donna Elizabeth Hendley | Physician Assistant | 132 Old Norton Rd Ste 200, Fayetteville, GA 30215-4873 | 2006-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801370051 | Truly Nourished, LLC | Dietitian, Registered | 500 West Lanier Ave., Suite 908, Fayetteville, GA 30215 | 2018-09-23 |
1104343839 | Pandora G Brown | Specialist | 65 Black Watch Ct, Fayetteville, GA 30215 | 2017-08-23 |
1902264492 | Ty-re Lamont Dixon Sr. | Durable Medical Equipment & Medical Supplies | 220 Shoreline Dr., Fayetteville, GA 30215 | 2016-01-29 |
1962870030 | Matthew Christian Alvarez | Dentist | 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 | 2015-09-08 |
1831534346 | Kevin Tyler Goelz | Radiology | 605 Wentworth Ct, Fayetteville, GA 30215 | 2013-05-10 |
1518249739 | William J. Holcomb | Pharmacist | 880 Hwy 85 South, Fayetteville, GA 30215 | 2011-09-14 |
1407168131 | All Care Home Health Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1000 Cooper Circle, Suite 201, Fayetteville, GA 30215 | 2010-07-10 |
1083854160 | Rachel Blanks | Licensed Practical Nurse | 170 Brookwood Lane, Fayetteville, GA 30215 | 2009-03-02 |
1093964975 | Brenda Carole Hayek | Nurse Practitioner | 735 Glynn Street S, Fayetteville, GA 30215 | 2008-09-16 |
1174700769 | Katheryn D. Mcdonell | Counselor | 110 Dawn Drive, Fayetteville, GA 30215 | 2008-01-25 |
Find all providers in zip 30215 |
Taxonomy Code | 1835X0200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Oncology |
A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871949602 | Kelly Chillari | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2016-05-11 |
1063683308 | Kyle Patterson Cook | Pharmacist | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2008-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376153585 | Rita Ilenre | Pharmacist | 194 Champion Way, Hiram, GA 30141-5247 | 2020-08-03 |
1114461571 | Donna Michelle Smith | Pharmacist | 162 Eastfield Ct, Alpharetta, GA 30005-7506 | 2016-12-05 |
1760939920 | Katherine Danyo | Pharmacist | 1581 Windsor Pkwy Ne, Brookhaven, GA 30319-2740 | 2016-09-06 |
1073919247 | James Lewis | Pharmacist | 805 Peachtree St Ne, #209, Atlanta, GA 30308-6009 | 2014-11-14 |
1740454198 | Allison Lindsay Boozer | Pharmacist | 630 Cobb Pkwy N, Ste A, Marietta, GA 30062-3372 | 2008-04-16 |
1497393268 | Stephanie Knight Ellis | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2019-12-12 |
1801430749 | Adam Whitney Gates | Pharmacist | 1100 Johnson Ferry Rd, Atlanta, GA 30342-1709 | 2019-11-04 |
1457859365 | Kristina Hazard | Pharmacist | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2018-01-25 |
1063952752 | Kayla Randle | Pharmacist | 2400 Mount Zion Pkwy, Suite 116, Jonesboro, GA 30236-2500 | 2017-03-01 |
1063961852 | Yimegnushal Ahmed Ahmed | Pharmacist | 6300 Hospital Parkway, Duluth, GA 30097 | 2016-09-22 |
Find all providers with the same taxonomy |
City | FAYETTEVILLE |
Zip Code | 30215 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.