Active NPI
Ha My Nguyen, PHARM.D.
- Pharmacist
- Boise, ID
National Provider Identifier
1053685917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6550
- Practice address
- 190 E Bannock St
Boise, ID 83712-6241 - Phone
- (208) 381-7282
- NPI assigned
- Feb 23, 2012
- Sex
- Female
- 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 | P6550 | ID | Primary |
Addresses
Primary practice location
190 E Bannock St
Boise, ID 83712-6241
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-7282
Other practice location 1
9850 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 205-7038
Other practice location 2
520 S Eagle Rd
Meridian, ID 83642-6351
Phone (208) 706-5255
Other practice location 3
1850 E Fairview Ave
Meridian, ID 83642-5702
Phone (208) 887-5273
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 |
|---|---|---|---|
| P6550 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc | Past | Accepting new patients | |
| Fred Meyer Stores Inc. | Past | Accepting new patients | |
| Fred Meyer Stores Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Meridian, ID
- NPI 1659316180
-
- Community/Retail Pharmacy
- Boise, ID
- NPI 1902842594
-
- Community/Retail Pharmacy
- Lynnwood, WA
- NPI 1558235762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1053685917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"telephone_number": "208-381-7282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"telephone_number": "208-381-7282"
}
],
"practiceLocations": [
{
"address_1": "9850 W St Lukes Dr",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836877912",
"country_code": "US",
"telephone_number": "208-205-7038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "520 S Eagle Rd",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836426351",
"country_code": "US",
"telephone_number": "208-706-5255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1850 E Fairview Ave",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836425702",
"country_code": "US",
"telephone_number": "208-887-5273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "HA",
"middle_name": "MY",
"name_prefix": "Ms.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-23",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.