Organization Active NPI

Tam Hoang Nguyen

  • Community/Retail Pharmacy
  • Sacramento, CA
National Provider Identifier
1235316134
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY-37843 Issued in CA
Legal business name
TAM HOANG NGUYEN
Practice address
7240 E Southgate Dr
Suite # a
Sacramento, CA 95823-2627
Phone
(916) 393-5961
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Tam Hoang NguyenNPI 1447242516
Title
RPH Owner
Phone
(916) 393-5961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY-37843 CA Primary

Addresses

Primary practice location

7240 E Southgate Dr
Suite # a
Sacramento, CA 95823-2627

Mailing address

7240 E Southgate Dr
Suite # a
Sacramento, CA 95823-2627
Phone (916) 393-5961

Other identifiers 1

IdentifierTypeStateIssuer
PHA378430MedicaidCA

Other names 1

  • MAI PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

7240 E Southgate Dr
Ste A
Sacramento, CA 95823
Phone (916) 393-5961

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1235316134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 E SOUTHGATE DR",
            "address_2": "SUITE # A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232627",
            "telephone_number": "916-393-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 E SOUTHGATE DR",
            "address_2": "SUITE # A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232627",
            "telephone_number": "916-393-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAM HOANG NGUYEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TAM",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "RPH OWNER",
        "authorized_official_telephone_number": "916-393-5961"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY-37843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA378430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.