Active NPI
Dung Thu Nguyen, PHARMD.
- Pharmacist
- Fountain Valley, CA
National Provider Identifier
1104948652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH54956
- Practice address
- 15990 Brookhurst St
Fountain Valley, CA 92708-1014 - Phone
- (714) 775-3974
- Fax
- (714) 775-3980
- NPI assigned
- Apr 4, 2007
- 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 | RPH54956 | CA | Primary |
Addresses
Primary practice location
15990 Brookhurst St
Fountain Valley, CA 92708-1014
Mailing address
15342 Montpellier Ave
Irvine, CA 92604-3130
Phone (714) 323-3864
Other names 1
- Miss Kathy Thu Nguyen
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 |
|---|---|---|---|
| RPH54956 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tao Dan 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
- Irvine, CA
- NPI 1952398117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1104948652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15342 MONTPELLIER AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926043130",
"telephone_number": "714-323-3864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15990 BROOKHURST ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081014",
"telephone_number": "714-775-3974",
"fax_number": "714-775-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DUNG",
"middle_name": "THU",
"name_prefix": "Miss",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH54956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHY",
"last_name": "NGUYEN",
"middle_name": "THU",
"prefix": "MISS",
"credential": "PHARMD.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.