Individual provider Active NPI

Trang Angela Nguyen, PHARM.D

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1104421577
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
59247 Issued in CA
Practice address
9188 Mira Mesa Blvd
San Diego, CA 92126-4804
Phone
(858) 271-0014
Fax
(858) 271-0042
NPI assigned
Dec 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
59247CAMDDental Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
JP Pharmacy Inc CurrentSince May 22, 2022 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.