Active NPI
Ha-Lieu Nancy Nguyen
- Community/Retail Pharmacy
- Sacramento, CA
National Provider Identifier
1063405140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHA442500
- Practice address
- 6665 Stockton Blvd
Suite # 6
Sacramento, CA 95823-1634 - Phone
- (916) 393-1071
- Fax
- (916) 393-1072
- NPI assigned
- Aug 24, 2005
- Last updated
- Jan 22, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 44661 | CA | |
| Community/Retail Pharmacy | 3336C0003X | PHA442500 | CA | Primary |
Addresses
Primary practice location
6665 Stockton Blvd
Suite # 6
Sacramento, CA 95823-1634
Mailing address
6665 Stockton Blvd
Suite # 6
Sacramento, CA 95823-1634
Phone (916) 393-1071
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 |
|---|---|---|---|
| PHA442500 | CA | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ha-Lieu Nancy Nguyen | Community/Retail Pharmacy | Past | Accepting new patients |
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": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1063405140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6665 STOCKTON BLVD",
"address_2": "SUITE # 6",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958231634",
"telephone_number": "916-393-1071",
"fax_number": "916-393-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6665 STOCKTON BLVD",
"address_2": "SUITE # 6",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958231634",
"telephone_number": "916-393-1071",
"fax_number": "916-393-1072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HA-LIEU",
"middle_name": "NANCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "44661",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHA442500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.