Tran Bao Song Nguyen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

84937 Issued in CA

Practice address

555 N Broadway # B101
Los Angeles, CA 90012-4700

Phone

(323) 275-0972

NPI assigned

Sep 13, 2021

Last updated

Oct 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

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.

• Garfield Beach CVS, L.L.C.

  dba CVS Pharmacy #17914

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1184394033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N BROADWAY # B101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124700",
            "telephone_number": "323-275-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N BROADWAY # B101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124700",
            "telephone_number": "323-275-0972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 W Simmons Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928024828",
            "country_code": "US",
            "telephone_number": "714-244-6797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRAN",
        "middle_name": "BAO SONG",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "84937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tinh Duc Nguyen, DO
• Tom Nguyen, DDS
• Tony Tuan H Nguyen, M.D.
• Tracy Kim Nguyen
• Tracy-Tram Ngoc Nguyen, PA-C
• Tran Q Nguyen, DO
• Travis Tu Nguyen, MD
• Trina Nguyen
• Trinh Nguyen
• Trinh T Nguyen, PHARMD

• Pharmacist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.