Healthcare Provider Details

I. General information

NPI: 1316874340
Provider Name (Legal Business Name): QUYNH-MY NGUYEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

400 CARRAWAY XING STE 4107
CHAPEL HILL NC
27516-6520
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number33801
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number33801
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: