Individual provider Active NPI

Phuong Q Nguyen, PHARMD

  • Pharmacist
  • Saint Cloud, FL
National Provider Identifier
1275816290
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS41739 Issued in FL
Practice address
4905 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771-8724
Phone
(407) 891-8371
Fax
(407) 891-9579
NPI assigned
Sep 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS41739 FL Primary

Addresses

Primary practice location

4905 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771-8724

Mailing address

4905 E. Irlo Bronson Memorial Hwy.
Saint Cloud, FL 34771
Phone (407) 891-8371

Other names 1

  • Stacy Nguyen Professional name

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

LicenseStateTypeSpecialty
PS41739FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1275816290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 E. IRLO BRONSON MEMORIAL HWY.",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "34771",
            "telephone_number": "407-891-8371",
            "fax_number": "407-891-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 E IRLO BRONSON MEMORIAL HWY",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347718724",
            "telephone_number": "407-891-8371",
            "fax_number": "407-891-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG",
        "middle_name": "Q",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS41739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "NGUYEN",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.