Active NPI
Thomas Nguyen
- Pharmacist
- Lakewood, CA
National Provider Identifier
1003447475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75460
- Practice address
- 3700 South St
Lakewood, CA 90712-1419 - Phone
- (562) 602-6806
- NPI assigned
- Feb 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 75460 | CA | Primary |
Addresses
Primary practice location
3700 South St
Lakewood, CA 90712-1419
Mailing address
6821 Thelma Ave
Buena Park, CA 90620-2428
Phone (714) 944-6649
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75460 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1003447475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6821 THELMA AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906202428",
"telephone_number": "714-944-6649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 SOUTH ST",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121419",
"telephone_number": "562-602-6806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-04",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.