Active NPI
Jimmy Nguyen
- Pharmacist
- Long Beach, CA
National Provider Identifier
1114496940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79398
- Practice address
- 6400 E Spring St
Long Beach, CA 90815-1553 - Phone
- (562) 425-2713
- NPI assigned
- Nov 22, 2018
- Sex
- Male
- 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 | 79398 | CA | Primary |
Addresses
Primary practice location
6400 E Spring St
Long Beach, CA 90815-1553
Mailing address
9632 Duke Dr
Westminster, CA 92683-6954
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79398 | Medicaid | CA |
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 |
|---|---|---|---|
| 79398 | CA | MD | Marriage & Family Therapist |
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
- Long Beach, CA
- NPI 1346350014
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542844800000",
"number": "1114496940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9632 DUKE DR",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 E SPRING ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908151553",
"telephone_number": "562-425-2713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JIMMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-22",
"last_updated": "2018-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79398",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.