Individual provider Active NPI

Jeanmarc V Nguyen, PHARM.D.

  • Pharmacist
  • Houston, TX
National Provider Identifier
1003145434
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
44925 Issued in TX
Practice address
9460 W Sam Houston Pkwy S
Houston, TX 77099-1850
Phone
(281) 568-3134
Fax
(281) 568-6974
NPI assigned
Dec 14, 2009
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 44925 TX Primary

Addresses

Primary practice location

9460 W Sam Houston Pkwy S
Houston, TX 77099-1850

Mailing address

2710 Taylorcrest
Missouri City, TX 77459-6929
Phone (324) 668-8158

Other practice location 1

8300 Wilcrest Dr
Houston, TX 77072-4326
Phone (281) 530-6210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
44925TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1003145434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 TAYLORCREST",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596929",
            "telephone_number": "324-668-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 W SAM HOUSTON PKWY S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991850",
            "telephone_number": "281-568-3134",
            "fax_number": "281-568-6974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Wilcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770724326",
            "country_code": "US",
            "telephone_number": "281-530-6210",
            "fax_number": "281-530-6058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JEANMARC",
        "middle_name": "V",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-14",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "44925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.