Individual provider Active NPI

Phillip Phuc Huy Dang Nguyen, PHARM.D, M.B.A

  • Pharmacist
  • Westminster, CA
National Provider Identifier
1083862635
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
57194 Issued in CA
Practice address
9433 Bolsa Ave Ste B
Westminster, CA 92683-5964
Phone
(714) 891-5280
Fax
(714) 891-6970
NPI assigned
Sep 8, 2008
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 57194 CA Primary

Addresses

Primary practice location

9433 Bolsa Ave Ste B
Westminster, CA 92683-5964

Mailing address

9433 Bolsa Ave Ste B
Westminster, CA 92683-5964
Phone (714) 891-5280

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
Master of Business Administration, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
57194CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
P & T Venture Inc Current Accepting new patients
P & T Venture, Inc Current Accepting new patients
Catinat Pharmacy Inc Pharmacist PastSince Dec 17, 2023 Accepting new patients

Locations

9433 Bolsa Ave
Ste B
Westminster, CA 92683
Phone (714) 531-8770

Organizations & group practices 3

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1083862635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 BOLSA AVE STE B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835964",
            "telephone_number": "714-891-5280",
            "fax_number": "714-891-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 BOLSA AVE STE B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835964",
            "telephone_number": "714-891-5280",
            "fax_number": "714-891-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG NGUYEN",
        "first_name": "PHILLIP",
        "middle_name": "PHUC HUY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D, M.B.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "57194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.