CHI Lieu Nguyen, PHARM.D.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

51051 Issued in CA

Practice address

5026 Fruitridge Rd Ste 3
Sacramento, CA 95820-5302

Phone

(916) 469-9813

Fax

(916) 469-9874

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Kim Pharmacy #3

  • Pharmacy
  • Sacramento, CA
  • NPI 1962762054
  NPD (past) Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1053463653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 FRUITRIDGE RD STE 3",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958205302",
            "telephone_number": "916-469-9813",
            "fax_number": "916-469-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 FRUITRIDGE RD STE 3",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958205302",
            "telephone_number": "916-469-9813",
            "fax_number": "916-469-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHI",
        "middle_name": "LIEU",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "CA",
            "license": "RPH46977",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502451",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL NUMBER",
            "identifier": "PHA441890",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL STATE ID",
            "identifier": "680366467",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catlinh Hoai Nguyen, OD
• Celeste Amie Nguyen
• Charlene Nguyen
• Charles D. Nguyen, P.A.
• Chau Nguyen
• Christina Nguyen
• Christine Nguyen
• Christine Oanh Nguyen, D.O.
• Cindy Phi Nguyen
• Claire Minh Nguyen, PA-C, L.AC.

• Community/Retail Pharmacy in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.