Individual provider Active NPI

Han Ngoc Nguyen, PHARM.D

  • Pharmacist
  • Carrollton, TX
National Provider Identifier
1033798293
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
65428 Issued in TX
Practice address
4038 Old Denton Rd
Carrollton, TX 75007-1020
Phone
(972) 512-3366
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 65428 TX Primary

Addresses

Primary practice location

4038 Old Denton Rd
Carrollton, TX 75007-1020

Mailing address

4038 Old Denton Rd
Carrollton, TX 75007-1020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Han.nguyen@stores.Kroger.com

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
65428TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Texas LP PastSince Apr 11, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: han.nguyen@stores.kroger.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1033798293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4038 OLD DENTON RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 OLD DENTON RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071020",
            "telephone_number": "972-512-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HAN",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "65428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Han.nguyen@stores.Kroger.com",
            "affiliation": "N",
            "address_1": "4038 Old Denton Rd",
            "city": "Carrollton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750071020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.