Active NPI
Mary Ann-Linh Thanh Nguyen
- Pharmacist
- Pasco, WA
National Provider Identifier
1013483759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60866453
- Practice address
- 2005 W Court St
Pasco, WA 99301-3934 - Phone
- (509) 545-4391
- NPI assigned
- Oct 21, 2018
- Last updated
- Dec 15, 2020
- Sex
- Female
- Sole proprietor
- No
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 | PH60866453 | WA | Primary |
Addresses
Primary practice location
2005 W Court St
Pasco, WA 99301-3934
Mailing address
2005 W Court St
Pasco, WA 99301-3934
Other practice location 1
6400 W Nob Hill Blvd
Yakima, WA 98908-1929
Phone (509) 965-0541
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 |
|---|---|---|---|
| PH60866453 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1013483759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 W COURT ST",
"city": "PASCO",
"state": "WA",
"postal_code": "993013934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 W COURT ST",
"city": "PASCO",
"state": "WA",
"postal_code": "993013934",
"telephone_number": "509-545-4391"
}
],
"practiceLocations": [
{
"address_1": "6400 W Nob Hill Blvd",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989081929",
"country_code": "US",
"telephone_number": "509-965-0541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "MARY ANN-LINH",
"middle_name": "THANH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-21",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60866453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.