Active NPI
Anhduong Hoang Nguyen, PHARMD
- Pharmacist
- Fountain Valley, CA
National Provider Identifier
1073165155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79161
- Practice address
- 18049 Magnolia St
Fountain Valley, CA 92708-5638 - Phone
- (714) 587-9786
- NPI assigned
- Jul 10, 2019
- 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 | 79161 | CA | Primary |
Addresses
Primary practice location
18049 Magnolia St
Fountain Valley, CA 92708-5638
Mailing address
9232 Parliament Ave
Westminster, CA 92683-7431
Phone (714) 728-3156
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 |
|---|---|---|---|
| 79161 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goose Pharma, LLC | Past | Accepting new patients | |
| Goose Pharma, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Fountain Valley, CA
- NPI 1144746348
-
- Long Term Care Pharmacy
- Fountain Valley, CA
- NPI 1548924707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1073165155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9232 PARLIAMENT AVE",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926837431",
"telephone_number": "714-728-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18049 MAGNOLIA ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085638",
"telephone_number": "714-587-9786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANHDUONG",
"middle_name": "HOANG",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-10",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.