CRYSTAL ANA NGUYEN (NPI# 1336749019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336749019 |
| Entity Type | Individual |
| Full Name | CRYSTAL ANA NGUYEN |
| Credential | PHARMD |
| Practice Address |
4375 Lexington Rd Athens GA 30605-2525 |
| Practice Telephone | 7063553090 |
| Practice Fax Number | 7063553099 |
| Mailing Telephone | 7063553090 |
| Mailing Fax Number | 7063553099 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 62943 | TX | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RPH028578 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588224372 | Crystal Thu Nguyen | Occupational Therapist | 16708 Sampan Cir, Cerritos, CA 90703-1654 | 2019-06-14 |
| 1275131179 | Crystal Phuong Thi Nguyen | Pharmacist | 2120 Newbury Rd, Newbury Park, CA 91320-3363 | 2020-10-13 |
| 1447888490 | Crystal Nguyen | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-27 |
| 1013547389 | Crystal Nguyen | Pharmacist | 3158 Dixie Hwy, Erlanger, KY 41018-1850 | 2020-01-24 |
| 1942662747 | Crystal Nguyen | Student in an Organized Health Care Education/Training Program | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2016-03-22 |
| Street Address |
4375 LEXINGTON RD |
| City | ATHENS |
| State | GA |
| Zip Code | 30605-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740207083 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4375 Lexington Rd, Athens, GA 30605-2525 | 2006-07-16 |
| 1417557083 | Sorour Khaleghian | Pharmacist | 4375 Lexington Rd, Athens, GA 30605-2525 | 2020-10-31 |
| 1700486370 | Judson Todd Pierce | Pharmacist | 4375 Lexington Rd, Athens, GA 30605-2525 | 2020-10-31 |
| 1245375294 | Andrea Weir Harron | Optometrist | 4375 Lexington Rd, Athens, GA 30605-2525 | 2007-02-20 |
| 1760572382 | Wal-mart Stores East, Lp | Technician/Technologist | 4375 Lexington Rd, Athens, GA 30605-2525 | 2006-10-13 |
| 1124133715 | Harry I. Goldben | Optometrist | 4375 Lexington Rd, Athens, GA 30605-2525 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811413701 | Lifecare Pharmacy Ga Corp | Pharmacy | 130 Gains School Rd, Athens, GA 30605 | 2017-08-22 |
| 1194245423 | Melissa Brooke Wilson | Speech-Language Pathologist | 345 Research Drive Apartment 76, Athens, GA 30605 | 2017-06-27 |
| 1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
| 1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
| 1417374869 | Northeast Georgia Wellness Associates, LLC | Dietitian, Registered | 1197 Cedar Shoals Drive #103, Athens, GA 30605 | 2014-03-24 |
| 1245571272 | Optimum Medical Healthcare | Durable Medical Equipment & Medical Supplies | 1715 Cedar Shoals Drive, Athens, GA 30605 | 2013-03-15 |
| 1972850709 | Sandra Joy Motte | Occupational Therapy Assistant | 275 Woodgrove Dr, Athens, GA 30605 | 2012-08-10 |
| 1124309851 | Kasey Brown | Social Worker | 188 S. Milledge Ave., Suite 2, Athens, GA 30605 | 2011-09-08 |
| 1154652071 | Chris Mayo Counseling and Psychotherapy, Lcsw, LLC | Social Worker | 135 Milford Dr, Athens, GA 30605 | 2010-01-15 |
| 1700039732 | Andrew Case | Psychologist | 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 | 2008-11-04 |
| Find all providers in zip 30605 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1336755172 | Leigh Ann Perri O'dowd | Pharmacist | 1260 S Milledge Ave Apt F-1, Athens, GA 30605-1477 | 2020-09-17 |
| 1932724192 | Alyssa Reynolds | Pharmacist | 215 Us Highway 31 S, Athens, AL 35611-2892 | 2020-06-13 |
| 1790331049 | Selma Kajtazovic | Pharmacist | 250 W Green St, Athens, GA 30602-5036 | 2019-08-13 |
| 1396397543 | Brittany M Delettre | Pharmacist | 355 Jennings Mill Pkwy Apt 1223, Athens, GA 30606-7281 | 2019-07-09 |
| 1699335638 | Megan Minehart | Pharmacist | 75 Hospital Dr Ste 130, Athens, OH 45701-2858 | 2019-06-20 |
| 1588136386 | Matthew Taylor Bridges | Pharmacist | 168 Hart Ave, Athens, GA 30606-6722 | 2018-12-19 |
| 1710490024 | Sandipkumar S Bhagat | Pharmacist | 130 Gaines School Rd, Athens, GA 30605-3118 | 2017-11-08 |
| 1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
| 1184172934 | Erik Alan Jenkins | Pharmacist | 2131 E. State St., Holzer Family Pharmacy, Athens, OH 45701 | 2016-09-21 |
| Find all providers in ATHENS | ||||
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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.