P Praxis·MD
● Active Type 1 · Individual

MS. Kim Phuong Thi Nguyen, PHARMD

Pharmacist·Fayetteville, GA· NPI 1487102174 · Enumerated 2016 · 9 years on NPI
Nguyen is 1 of 1 pharmacist providers in Fayetteville and 1 of 59 in Georgia.
NPI age
9 years
Enumerated 2016-09-12
Primary specialty
Pharmacist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-09-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 59 active pharmacist providers in Georgia.

NPI age
9 years
≈ at median (9 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-09Enumerated in NPPES
2016 2026

Where they practice

Practice location
132 Old Norton Rd Ste 200
Fayetteville, GA 302154873
📞 6788171117
Mailing address
115 Chablis Ct
Fayetteville, GA 302147120
📞 4048250989

Specialties

  • Pharmacist Primary
    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.
    GA license #025736 taxonomy 1835X0200X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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