Active NPI
Phat H Nguyen
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1265216535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP457791
- Practice address
- 2051 S Beechwood St
Philadelphia, PA 19145-2705 - Phone
- (267) 401-2633
- NPI assigned
- Aug 18, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP457791 | PA | Primary |
Addresses
Primary practice location
2051 S Beechwood St
Philadelphia, PA 19145-2705
Mailing address
2051 S Beechwood St
Philadelphia, PA 19145-2705
Phone (267) 401-2633
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 |
|---|---|---|---|
| RP457791 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1265216535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 S BEECHWOOD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191452705",
"telephone_number": "267-401-2633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 S BEECHWOOD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191452705",
"telephone_number": "267-401-2633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PHAT",
"middle_name": "H",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-18",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP457791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.