Active NPI
Andy Nguyen, PHARMD
- Pharmacist
- Whittier, CA
National Provider Identifier
1174022719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78249
- Practice address
- 11604 Whittier Blvd
Whittier, CA 90601-3936 - Phone
- (562) 695-7416
- NPI assigned
- Feb 9, 2018
- Last updated
- May 11, 2023
- 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 | 78249 | CA | Primary |
Addresses
Primary practice location
11604 Whittier Blvd
Whittier, CA 90601-3936
Mailing address
11604 Whittier Blvd
Whittier, CA 90601-3936
Phone (562) 695-7416
Other practice location 1
14885 Telegraph Rd
LA Mirada, CA 90638-1060
Phone (562) 777-3405
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1174022719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11604 WHITTIER BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906013936",
"telephone_number": "562-695-7416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11604 WHITTIER BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906013936",
"telephone_number": "562-695-7416"
}
],
"practiceLocations": [
{
"address_1": "14885 Telegraph Rd",
"address_purpose": "LOCATION",
"city": "LA Mirada",
"state": "CA",
"postal_code": "906381060",
"country_code": "US",
"telephone_number": "562-777-3405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANDY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-09",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.