KELLY TRANG NGUYEN (NPI# 1922608025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922608025 |
| Entity Type | Individual |
| Full Name | KELLY TRANG NGUYEN |
| Practice Address |
440 Atlanta Hwy Nw Winder GA 30680-7826 |
| Mailing Address |
392 Annabee Ct Lawrenceville GA 30044-1515 |
| Practice Telephone | 7703071272 |
| Mailing Telephone | 4045138741 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH028602 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508407412 | Kelly Nguyen | Physical Therapist | 323 N Euclid St Spc 42, Santa Ana, CA 92703-3042 | 2019-10-02 |
| 1982180493 | Kelly Nguyen | Dentist | 17781 Santiago Blvd, Orange, CA 92861-4134 | 2018-07-17 |
| 1427457472 | Kelly Nguyen | Pharmacist | 106 Lac Felicity Dr, Luling, LA 70070-4280 | 2014-08-15 |
| 1972787182 | Kelly Nguyen | Pharmacist | 1206 Buchanan Dr, Santa Clara, CA 95051-3963 | 2007-12-24 |
| 1801410543 | Kelly Tram Anh Nguyen | Dentist | 5065 University Pkwy, Winston Salem, NC 27106-6083 | 2020-05-28 |
| 1528521408 | Kelly Nguyen | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2019-04-09 |
| 1639634991 | Kelly Nguyen | Behavior Technician | 17284 Newhope St Ste 212, Fountain Valley, CA 92708-8201 | 2019-01-31 |
| 1023589587 | Kelly Dam Nguyen | Marriage & Family Therapist | 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 | 2018-12-10 |
| 1699242693 | Kelly Kim Nguyen | Pharmacist | 17779 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5237 | 2018-10-28 |
| 1235635418 | Kelly Kim Nguyen | Dentist | 339 E Leland Rd, Pittsburg, CA 94565-4911 | 2018-04-05 |
| Street Address |
440 ATLANTA HWY NW |
| City | WINDER |
| State | GA |
| Zip Code | 30680-7826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821015140 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 440 Atlanta Hwy Nw, Winder, GA 30680-7826 | 2006-07-16 |
| 1902406960 | Anh Hoang | Pharmacist | 440 Atlanta Hwy Nw, Winder, GA 30680-7826 | 2020-10-29 |
| 1801063680 | Michael L Serrano Od | Optometrist | 440 Atlanta Hwy Nw, Winder, GA 30680-7826 | 2008-05-12 |
| 1740379601 | Wal-mart Stores East, Lp | Technician/Technologist | 440 Atlanta Hwy Nw, Winder, GA 30680-7826 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326520776 | Alexandrea Hosch | Specialist/Technologist | 474 Lisa Circle, Winder, GA 30680 | 2018-09-02 |
| 1427574185 | Kristen Layfield Harbin | Dietitian, Registered | 827 Jefferson Hwy, Winder, GA 30680 | 2017-08-15 |
| 1417485715 | Staci Harwell Tebbetts | Optometrist | 279 N Broad St Ste C, Winder, GA 30680 | 2017-05-31 |
| 1609234947 | Carmichaels Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 289 N Broad St, Winder, GA 30680 | 2016-02-02 |
| 1699140434 | Chee Vang | Physical Therapy Assistant | 1012 Bowman Way, Winder, GA 30680 | 2015-12-04 |
| 1518361989 | Usrc Winder, LLC | Clinic/Center | 429 Loganville Hwy Ste 105-109, Winder, GA 30680 | 2014-10-14 |
| 1871901090 | Carol Lumpkin | Nurse Practitioner | 15 Porter St East, Winder, GA 30680 | 2014-07-31 |
| 1548501851 | Jennifer Won | Dentist | 444 Atlanta Hwy Nw Ste 500, Winder, GA 30680 | 2013-03-12 |
| 1801041595 | Joan Theresa James | Obstetrics & Gynecology | 137 W Athens St Ste 103, Winder, GA 30680 | 2008-11-21 |
| 1669636767 | Lee Lindsey Bleshoy | Nurse Practitioner | 133 W Athens St Ste A, Winder, GA 30680 | 2008-07-17 |
| Find all providers in zip 30680 | ||||
| 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 |
|---|---|---|---|---|
| 1811515737 | Kaitlyn Shea Graham | Pharmacist | 508 Shenandoah Ln, Winder, GA 30680-6209 | 2020-07-07 |
| 1114263985 | Stacy Ivin Burke | Pharmacist | 158 Woodlawn Ave, Winder, GA 30680-2546 | 2012-12-21 |
| 1144528977 | Diane Patricia White | Pharmacist | 39 E May St, Winder, GA 30680-1921 | 2011-03-02 |
| 1376759373 | Dunahoo Drugs | Pharmacist | 35 W Midland Ave, Winder, GA 30680-2564 | 2007-05-15 |
| 1538284450 | Thomas Allen Mckendrick Sr. | Pharmacist | 911 Cumberland St, Winder, GA 30680 | 2007-03-20 |
| 1821048935 | Farmer's Prescription Shop | Pharmacist | 232 E Broad St, Winder, GA 30680-2277 | 2006-05-11 |
| 1902406960 | Anh Hoang | Pharmacist | 440 Atlanta Hwy Nw, Winder, GA 30680-7826 | 2020-10-29 |
| 1912444951 | Janet Little | Pharmacist | 283 N Broad St, Winder, GA 30680-2155 | 2017-01-29 |
| 1821335761 | Kathy Gregg | Pharmacist | 17 Monroe Hwy, Winder, GA 30680-7186 | 2013-01-11 |
| 1457698508 | Susan Aldrich | Pharmacist | 17 Monroe Hwy, Winder, GA 30680-7186 | 2013-01-09 |
| Find all providers in WINDER | ||||
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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.