Active NPI
Michael Nguyen
- Pharmacist
- Everett, WA
National Provider Identifier
1235681602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60691734
- Practice address
- 11918 Airport Rd
Everett, WA 98204-5509 - Phone
- (425) 353-7687
- Fax
- (425) 519-9916
- NPI assigned
- Nov 1, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 75257 | CA | |
| Pharmacist | 183500000X | PH60691734 | WA | Primary |
Addresses
Primary practice location
11918 Airport Rd
Everett, WA 98204-5509
Mailing address
11918 Airport Rd
Everett, WA 98204-5509
Phone (425) 353-7687
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 |
|---|---|---|---|
| 75257 | CA | MD | Pharmacist |
| PH60691734 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1235681602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11918 AIRPORT RD",
"city": "EVERETT",
"state": "WA",
"postal_code": "982045509",
"telephone_number": "425-353-7687",
"fax_number": "425-519-9916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11918 AIRPORT RD",
"city": "EVERETT",
"state": "WA",
"postal_code": "982045509",
"telephone_number": "425-353-7687",
"fax_number": "425-519-9916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-01",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75257",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60691734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.