Active NPI
Loc Duc Nguyen, RPH
- Pharmacist
- Fresno, CA
National Provider Identifier
1114216900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60705
- Practice address
- 3795 W Shields Ave
Fresno, CA 93722-5247 - Phone
- (559) 271-5030
- NPI assigned
- Mar 31, 2011
- 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 | 60705 | CA | Primary |
Addresses
Primary practice location
3795 W Shields Ave
Fresno, CA 93722-5247
Mailing address
9191 Obsidian Dr
Westminster, CA 92683-7333
Phone (714) 902-4550
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60705 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- Fresno, CA
- NPI 1942319306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301529600000",
"number": "1114216900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9191 OBSIDIAN DR",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926837333",
"telephone_number": "714-902-4550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3795 W SHIELDS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937225247",
"telephone_number": "559-271-5030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LOC",
"middle_name": "DUC",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-31",
"last_updated": "2011-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.