Individual provider Active NPI

Trissie Diem Nguyen, R.PH.

  • Pharmacist
  • Pennsauken, NJ
National Provider Identifier
1043310048
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02875400 Issued in NJ
Practice address
5115 Route 38 West
Unit P
Pennsauken, NJ 08109
Phone
(856) 356-2480
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP439230 PA
Pharmacist 183500000X 28RI02875400 NJ Primary

Addresses

Primary practice location

5115 Route 38 West
Unit P
Pennsauken, NJ 08109

Mailing address

5115 Route 38 West
Unit P
Pennsauken, NJ 08109-4803
Phone (856) 356-2480

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI02875400NJMDPharmacist
RP439230PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Americare 2 Pharmacy LLC. CurrentSince Aug 1, 2021 Accepting new patients

Locations

5115 Route 38
Unit P
Pennsauken, NJ 08109
Phone (856) 356-2480

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1043310048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 ROUTE 38 WEST",
            "address_2": "UNIT P",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094803",
            "telephone_number": "856-356-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 ROUTE 38 WEST",
            "address_2": "UNIT P",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "08109",
            "telephone_number": "856-356-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRISSIE",
        "middle_name": "DIEM",
        "name_prefix": "Dr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP439230",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02875400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsauken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.