Active NPI
Katie P Nguyen
- Pharmacist
- Laguna Niguel, CA
National Provider Identifier
1215698600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH55487
- Practice address
- 27220 Heather Ridge Rd
Laguna Niguel, CA 92677-3418 - Phone
- (714) 801-9948
- NPI assigned
- Jan 6, 2022
- Sex
- Female
- 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 | RPH55487 | CA | Primary |
Addresses
Primary practice location
27220 Heather Ridge Rd
Laguna Niguel, CA 92677-3418
Mailing address
9101 Gettysburg Dr
Huntington Beach, CA 92646-3413
Phone (714) 801-9948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0577873 | 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 |
|---|---|---|---|
| RPH55487 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1215698600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9101 GETTYSBURG DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926463413",
"telephone_number": "714-801-9948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27220 HEATHER RIDGE RD",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926773418",
"telephone_number": "714-801-9948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KATIE",
"middle_name": "P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH55487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0577873",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.