Active NPI
Vince Duc Nguyen, PHARMD
- Pharmacist
- Redmond, WA
National Provider Identifier
1043961287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61182832
- Practice address
- 4124 148TH Avenue NE
Suite J/a
Redmond, WA 98052 - Phone
- (425) 968-8766
- NPI assigned
- Jan 10, 2022
- Sex
- Male
- 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 | 61182832 | WA | Primary |
Addresses
Primary practice location
4124 148TH Avenue NE
Suite J/a
Redmond, WA 98052
Mailing address
6422 E Lake Sammamish Pkwy NE Apt 206
Redmond, WA 98052-6160
Phone (669) 350-6917
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61182832 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1043961287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6422 E LAKE SAMMAMISH PKWY NE APT 206",
"city": "REDMOND",
"state": "WA",
"postal_code": "980526160",
"telephone_number": "669-350-6917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4124 148TH AVENUE NE",
"address_2": "SUITE J/A",
"city": "REDMOND",
"state": "WA",
"postal_code": "98052",
"telephone_number": "425-968-8766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "VINCE",
"middle_name": "DUC",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-10",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "61182832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.