Active NPI
Trang Angela Nguyen, PHARM.D
- Pharmacist
- San Diego, CA
National Provider Identifier
1104421577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59247
- Practice address
- 9188 Mira Mesa Blvd
San Diego, CA 92126-4804 - Phone
- (858) 271-0014
- Fax
- (858) 271-0042
- NPI assigned
- Dec 2, 2020
- Last updated
- Dec 2, 2020
- Sex
- Female
- 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 | 59247 | CA | Primary |
Addresses
Primary practice location
9188 Mira Mesa Blvd
San Diego, CA 92126-4804
Mailing address
9188 Mira Mesa Blvd
San Diego, CA 92126-4804
Phone (858) 271-0014
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | PHARMACY | Direct |
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 |
|---|---|---|---|
| 59247 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JP Pharmacy Inc | Current | Accepting new patients |
Locations
9188 Mira Mesa Blvd
San Diego, CA 92126
Phone (858) 271-0014
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": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1104421577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9188 MIRA MESA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264804",
"telephone_number": "858-271-0014",
"fax_number": "858-271-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9188 MIRA MESA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264804",
"telephone_number": "858-271-0014",
"fax_number": "858-271-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRANG",
"middle_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "59247",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "PHARMACY",
"affiliation": "N",
"endpointDescription": "ADDRESS",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9188 Mira Mesa Blvd",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921264804",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.