Andre Khang Nguyen, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

84678 Issued in CA

Practice address

250 N Robertson Blvd
Beverly Hills, CA 90211-1788

Phone

(310) 385-3534

NPI assigned

Sep 5, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: anguyen23931@epiclp.direct-ci.com
• Direct secure messaging: andre.nguyen.p33@direct.monarchhealthcare.nextgenshare.com
• Direct secure messaging: andre.nguyen.p7@direct.monarchhealthcare.nextgenshare.com
• Direct secure messaging: anguyen194561@westdirect.optum.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630800000000",
    "number": "1275201030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S WILLAMAN DR APT 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483340",
            "telephone_number": "559-776-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111788",
            "telephone_number": "310-385-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANDRE",
        "middle_name": "KHANG",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-05",
        "last_updated": "2021-09-05",
        "certification_date": "2021-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CA",
            "license": "84678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Neydavood
• Amanda NG
• David G. NG, MD
• Herbert NG, FNP-BC
• Kim Ngo, PA-C
• Andy Tin Nguyen, MD
• Davis B Nguyen, M.D.
• Derrick Trong Nguyen, DO
• Donna Khue Nguyen, DNP, FNP-C
• Kathy Nguyen, PA-C

• Ambulatory Care Pharmacist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ambulatory Care Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.