Active NPI
Harrison Duc Nguyen, PHARMD
- Pharmacist
- Lake Elsinore, CA
National Provider Identifier
1225519283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78643
- Practice address
- 18269 Collier Ave
Lake Elsinore, CA 92530 - Phone
- (951) 471-2132
- Fax
- (951) 674-2359
- NPI assigned
- Aug 27, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 78643 | CA | Primary |
Addresses
Primary practice location
18269 Collier Ave
Lake Elsinore, CA 92530
Mailing address
13275 Placid Hill Dr
Corona, CA 92883-8444
Phone (951) 454-6629
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78643 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1225519283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13275 PLACID HILL DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928838444",
"telephone_number": "951-454-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18269 COLLIER AVE",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "92530",
"telephone_number": "951-471-2132",
"fax_number": "951-674-2359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HARRISON",
"middle_name": "DUC",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.