Active NPI
Susan Nguyen
- Pharmacist
- San Ramon, CA
National Provider Identifier
1053931188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH76980
- Practice address
- 2300 Camino Ramon
San Ramon, CA 94583-1354 - Phone
- (925) 244-7416
- NPI assigned
- Apr 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | RPH76980 | CA | Primary |
Addresses
Primary practice location
2300 Camino Ramon
San Ramon, CA 94583-1354
Mailing address
3056 Oliver Dr
San Jose, CA 95135-1538
Phone (408) 398-9766
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH76980 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587168000000",
"number": "1053931188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3056 OLIVER DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951351538",
"telephone_number": "408-398-9766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 CAMINO RAMON",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831354",
"telephone_number": "925-244-7416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-18",
"last_updated": "2020-04-18",
"certification_date": "2020-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH76980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.