Active NPI
Tam Hoang Nguyen
- Community/Retail Pharmacy
- Sacramento, CA
National Provider Identifier
1235316134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY-37843
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tam Hoang Nguyen
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA378430 | Medicaid | CA |
Other names 1
- MAI PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.
-
- Community/Retail Pharmacy
- Sacramento, CA
- NPI 1447242516
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.