Ethan Dinh Duy Nguyen, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

80415 Issued in CA

Practice address

6 The Crossroads Blvd
Carmel, CA 93923-8610

Phone

(831) 624-0148

Fax

(831) 625-1479

NPI assigned

Feb 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Longs Drug Stores California LLC

  • Pharmacy
  • Carmel, CA
  • NPI 1053354316
  NPD (past)
• Longs Drug Store California LLC

  • Pharmacy
  • Kapolei, HI
  • NPI 1700565793
  NPD (past)

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": "1023640455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 PEREZ ST APT 281",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939061779",
            "telephone_number": "714-658-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 THE CROSSROADS BLVD",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238610",
            "telephone_number": "831-624-0148",
            "fax_number": "831-625-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ETHAN",
        "middle_name": "DINH DUY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "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": "80415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah McIsaac Murphy, LICSW AND LCSW
• Ryan Kary Muth
• Matthew Neoh
• Megumi Neth, NP
• Roger Newton, M.D.
• Northern California Congregational Retirement Homes, Inc
• Jennifer Jill Nuckton, M.P.T.
• John M Obert-Hong, MD
• Brita Ostrom, MFT
• Hiromi Ozawa, P.T.

• Pharmacist in Carmel, CA
• Providers in Carmel, CA by specialty
• Pharmacist in California

• 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.

Verify at the official NPI Registry.