Active NPI
Huy Phung Nguyen, PHARM.D
- Pharmacist
- Seal Beach, CA
National Provider Identifier
1083037774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61767
- Practice address
- 12470 Seal Beach Blvd
Seal Beach, CA 90740-2711 - Phone
- (562) 598-2734
- Fax
- (562) 799-1390
- NPI assigned
- Jan 30, 2014
- Last updated
- Jan 30, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 61767 | CA | Primary |
Addresses
Primary practice location
12470 Seal Beach Blvd
Seal Beach, CA 90740-2711
Mailing address
9302 Blanche Ave
Garden Grove, CA 92841-3410
Phone (562) 598-2734
Other names 1
- Lance Nguyen
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralphs Grocery Company | 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": "1391040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1083037774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9302 BLANCHE AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928413410",
"telephone_number": "562-598-2734",
"fax_number": "562-799-1390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12470 SEAL BEACH BLVD",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907402711",
"telephone_number": "562-598-2734",
"fax_number": "562-799-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HUY",
"middle_name": "PHUNG",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-30",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LANCE",
"last_name": "NGUYEN",
"credential": "PHARM.D",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Seal Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.