Individual provider Active NPI

Tuan Dinh

  • Pharmacist
  • Bullhead City, AZ
National Provider Identifier
1164843462
Registry record updated Oct 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S0202058 Issued in AZ
Practice address
2580 Highway 95
Ste 106
Bullhead City, AZ 86442-7324
Phone
(928) 299-5070
Fax
(928) 299-5071
NPI assigned
Jan 3, 2014
Last updated
Oct 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 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 S0202058 AZ Primary

Addresses

Primary practice location

2580 Highway 95
Ste 106
Bullhead City, AZ 86442-7324

Mailing address

2580 Highway 95
Ste 106
Bullhead City, AZ 86442-7324
Phone (928) 299-5070

Other practice location 1

4823 S Highway 95
Fort Mohave, AZ 86426-8314
Phone (828) 704-4443

Other practice location 2

2580 Highway 95
Ste 106
Bullhead City, AZ 86442-7324
Phone (928) 299-5070

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

LicenseStateTypeSpecialty
S0202058AZMDPharmacist

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1164843462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 HIGHWAY 95",
            "address_2": "STE 106",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427324",
            "telephone_number": "928-299-5070",
            "fax_number": "928-299-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 HIGHWAY 95",
            "address_2": "STE 106",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427324",
            "telephone_number": "928-299-5070",
            "fax_number": "928-299-5071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4823 S Highway 95",
            "address_purpose": "LOCATION",
            "city": "Fort Mohave",
            "state": "AZ",
            "postal_code": "864268314",
            "country_code": "US",
            "telephone_number": "828-704-4443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2580 HIGHWAY 95",
            "address_2": "STE 106",
            "address_purpose": "LOCATION",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427324",
            "country_code": "US",
            "telephone_number": "928-299-5070",
            "fax_number": "928-299-5071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINH",
        "first_name": "TUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-03",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S0202058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.