Active NPI
Andy Nguyen
- Pharmacist
- Redding, CA
National Provider Identifier
1205222684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71506
- Practice address
- 975 E Cypress Ave
Redding, CA 96002-1045 - Phone
- (530) 223-3995
- NPI assigned
- Apr 12, 2015
- Last updated
- Apr 12, 2015
- 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 | 71506 | CA | Primary |
Addresses
Primary practice location
975 E Cypress Ave
Redding, CA 96002-1045
Mailing address
1300 Market St Ste 209
Redding, CA 96001-0633
Phone (714) 552-1284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91578503C | Other | CA | MEDI-CAL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428796800000",
"number": "1205222684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MARKET ST STE 209",
"city": "REDDING",
"state": "CA",
"postal_code": "960010633",
"telephone_number": "714-552-1284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 E CYPRESS AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960021045",
"telephone_number": "530-223-3995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANDY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-12",
"last_updated": "2015-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "71506",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "91578503C",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.