Active NPI
Anthony Xuan Nguyen, PHARM. D
- Pharmacist
- Long Beach, CA
National Provider Identifier
1093471971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55088
- Practice address
- 2701 Atlantic Ave Ste 100
Long Beach, CA 90806-2701 - Phone
- (562) 661-1440
- Fax
- (562) 661-1442
- NPI assigned
- Nov 15, 2021
- Sex
- Male
- 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 | 55088 | CA | Primary |
Addresses
Primary practice location
2701 Atlantic Ave Ste 100
Long Beach, CA 90806-2701
Mailing address
2701 Atlantic Ave Ste 100
Long Beach, CA 90806-2701
Phone (562) 661-1440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2701690 | Medicaid | CA |
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 |
|---|---|---|---|
| 55088 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1093471971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 ATLANTIC AVE STE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062701",
"telephone_number": "562-661-1440",
"fax_number": "562-661-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 ATLANTIC AVE STE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062701",
"telephone_number": "562-661-1440",
"fax_number": "562-661-1442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANTHONY",
"middle_name": "XUAN",
"credential": "PHARM. D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-15",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "55088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2701690",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.