Active NPI
Nguyet Dang Minh DO, PHARMACIST
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Maple Valley, WA
National Provider Identifier
1063123503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PH61312375
- Practice address
- 26520 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8394 - Phone
- (425) 433-2333
- Fax
- (425) 433-2327
- NPI assigned
- Dec 6, 2022
- Last updated
- Jun 18, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61312375 | WA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH61312375 | WA | Primary |
Addresses
Primary practice location
26520 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8394
Mailing address
26520 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8394
Phone (425) 433-2333
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 |
|---|---|---|---|
| PH61312375 | WA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fred Meyer Pharmacy
- Community/Retail Pharmacy
- Maple Valley, WA
- NPI 1154695849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1063123503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26520 MAPLE VALLEY BLACK DIAMOND RD SE",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980388394",
"telephone_number": "425-433-2333",
"fax_number": "425-433-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26520 MAPLE VALLEY BLACK DIAMOND RD SE",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980388394",
"telephone_number": "425-433-2333",
"fax_number": "425-433-2327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "NGUYET",
"middle_name": "DANG MINH",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-06",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61312375",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH61312375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.