Thuy T Nguyen, RPH
Individual provider Active NPI Pharmacist · Represa, CA
NPI 1255693222 · NPPES record last updated Jun 14, 2012
Key facts
- NPI
- 1255693222
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH44466 (CA)
- Practice address
- 100 Prison Rd
Represa, CA 95671-3000 - Phone
- (916) 985-8610
- Fax
- (916) 294-3114
- NPI assigned
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH44466 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrections and Rehabilitation-Headquarters | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH44466 | CA | Yes |
Addresses
Primary practice location
100 Prison Rd
Represa, CA 95671-3000
Mailing address
100 Prison Rd
Represa, CA 95671-3000
Phone (916) 985-8610
Other providers in Represa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.