Active NPI
Michael Nguyen, PHARMD
- Pharmacist
- Shillington, PA
National Provider Identifier
1235758541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP452040
- Practice address
- 2203 Lancaster Pike
Shillington, PA 19607-2453 - Phone
- (484) 709-3369
- Fax
- (484) 709-3370
- NPI assigned
- Apr 16, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A1-0005184 | DE | |
| Pharmacist | 183500000X | 15333 | NE | |
| Pharmacist | 183500000X | 22883 | IA | |
| Pharmacist | 183500000X | RP452040 | PA | Primary |
Addresses
Primary practice location
2203 Lancaster Pike
Shillington, PA 19607-2453
Mailing address
323 Rumford Rd
Lititz, PA 17543-9088
Phone (717) 406-6007
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 |
|---|---|---|---|
| A1-0005184 | DE | MD | Pharmacist |
| 22883 | IA | MD | Pharmacist |
| RP452040 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2203 Lancaster Pike
Shillington, PA 19607
Phone (484) 709-3369
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1235758541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 RUMFORD RD",
"city": "LITITZ",
"state": "PA",
"postal_code": "175439088",
"telephone_number": "717-406-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 LANCASTER PIKE",
"city": "SHILLINGTON",
"state": "PA",
"postal_code": "196072453",
"telephone_number": "484-709-3369",
"fax_number": "484-709-3370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-16",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0005184",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "15333",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "22883",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP452040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shillington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.