MS. KIM PHUONG THI NGUYEN


Address: 132 Old Norton Rd Ste 200, Fayetteville, GA 30215-4873
Phone: 6788171117

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835X0200X Pharmacist
Specialization: Oncology
025736 GA Pharmacy Service Providers

Other Providers KIM PHUONG NGUYEN

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

Office Location

Street Address 132 OLD NORTON RD STE 200
City FAYETTEVILLE
State GA
Zip Code 30215-4873

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1835X0200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Oncology

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 30215

Improve Information

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Dataset Information

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.

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