Individual provider Active NPI

Leah Phuong L Nguyen, PHARMD

  • Pharmacist
  • Renton, WA
National Provider Identifier
1083826705
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00062521 Issued in WA
Practice address
4033 Talbot Rd S Ste 260
Renton, WA 98055-5767
Phone
(425) 690-3533
Fax
(425) 690-9147
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00062521 WA Primary

Addresses

Primary practice location

4033 Talbot Rd S Ste 260
Renton, WA 98055-5767

Mailing address

4033 Talbot Rd S Ste 260
Renton, WA 98055-5767
Phone (425) 690-3533

Other practice location 1

315 S MLK Way
Tacoma General Hospital MB 2-RX
Tacoma, WA 98405
Phone (253) 403-2403

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

LicenseStateTypeSpecialty
PH00062521WAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: lnguyen61049@direct.valleymed.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1083826705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S STE 260",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555767",
            "telephone_number": "425-690-3533",
            "fax_number": "425-690-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S STE 260",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555767",
            "telephone_number": "425-690-3533",
            "fax_number": "425-690-9147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S MLK WAY",
            "address_2": "TACOMA GENERAL HOSPITAL MB 2-RX",
            "address_purpose": "LOCATION",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "country_code": "US",
            "telephone_number": "253-403-2403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LEAH",
        "middle_name": "PHUONG L",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00062521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.