Active NPI
Jim Khoa Nguyen, PHARM D
- Pharmacist
- Westminster, CA
National Provider Identifier
1063180032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66090
- Practice address
- 7152 Rutgers Ave
Westminster, CA 92683-6127 - Phone
- (714) 728-9624
- NPI assigned
- Sep 2, 2021
- Sex
- Male
- 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 | 66090 | CA | Primary |
Addresses
Primary practice location
7152 Rutgers Ave
Westminster, CA 92683-6127
Mailing address
7152 Rutgers Ave
Westminster, CA 92683-6127
Phone (714) 728-9624
Other practice location 1
12618 Studebaker Rd
Norwalk, CA 90650-2517
Phone (714) 728-9624
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 |
|---|---|---|---|
| 66090 | CA | MD | Clinical Social Worker |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1063180032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7152 RUTGERS AVE",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836127",
"telephone_number": "714-728-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7152 RUTGERS AVE",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836127",
"telephone_number": "714-728-9624"
}
],
"practiceLocations": [
{
"address_1": "12618 Studebaker Rd",
"address_purpose": "LOCATION",
"city": "Norwalk",
"state": "CA",
"postal_code": "906502517",
"country_code": "US",
"telephone_number": "714-728-9624",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "JIM",
"middle_name": "KHOA",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-02",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "66090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.