Active NPI
Vy N Nguyen
- Pharmacist
- Breckenridge, TX
National Provider Identifier
1104535475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71648
- Practice address
- 1501 W Walker St
Breckenridge, TX 76424-3203 - Phone
- (254) 559-3341
- NPI assigned
- Nov 16, 2022
- Sex
- Female
- 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 | 71648 | TX | Primary |
Addresses
Primary practice location
1501 W Walker St
Breckenridge, TX 76424-3203
Mailing address
1515 SE 16TH St Apt 224
Mineral Wells, TX 76067-8562
Phone (409) 420-7337
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71648 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients |
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.
-
- Pharmacy
- Stafford, TX
- NPI 1427931351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1104535475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 SE 16TH ST APT 224",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "760678562",
"telephone_number": "409-420-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 W WALKER ST",
"city": "BRECKENRIDGE",
"state": "TX",
"postal_code": "764243203",
"telephone_number": "254-559-3341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "VY",
"middle_name": "N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-16",
"last_updated": "2022-11-16",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "71648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Breckenridge, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.