1568645307 NPI number — BICHTUYEN THI NGUYEN PHARMACIST

Table of content: BICHTUYEN THI NGUYEN PHARMACIST (NPI 1568645307)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568645307 NPI number — BICHTUYEN THI NGUYEN PHARMACIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NGUYEN
Provider First Name:
BICHTUYEN
Provider Middle Name:
THI
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHARMACIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568645307
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/09/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5810 187TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRESH MEADOWS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11365-2229
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-357-8945
Provider Business Mailing Address Fax Number:
718-357-8945

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
109-07 101 ST AVE
Provider Second Line Business Practice Location Address:
PHARMACY DEPARTMENT
Provider Business Practice Location Address City Name:
JAMAICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11419-2114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-441-9311
Provider Business Practice Location Address Fax Number:
718-441-6211
Provider Enumeration Date:
12/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  047268 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1841309747 . This is a "NATIONAL PROVIDER NUMBER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com