Active NPI
Minh Phuong Nguyen
- Pharmacist
- Tempe, AZ
National Provider Identifier
1063810182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S021006
- Practice address
- 750 E Guadalupe Rd
Tempe, AZ 85283-2912 - Phone
- (480) 820-4478
- NPI assigned
- Dec 6, 2014
- Last updated
- Dec 6, 2014
- 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 | S021006 | AZ | Primary |
Addresses
Primary practice location
750 E Guadalupe Rd
Tempe, AZ 85283-2912
Mailing address
4695 W Whitten St
Chandler, AZ 85226-4652
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 |
|---|---|---|---|
| S021006 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | 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": "1417824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417824000000",
"number": "1063810182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4695 W WHITTEN ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852264652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E GUADALUPE RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852832912",
"telephone_number": "480-820-4478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MINH PHUONG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-06",
"last_updated": "2014-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S021006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.