Active NPI
My Phuong Luu Nguyen, PHARM.D.
- Pharmacist
- Wheaton, IL
National Provider Identifier
1275870677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051296217
- Practice address
- 610 S County Farm Road
Wheaton, IL 60187 - Phone
- (630) 510-1685
- NPI assigned
- Jan 7, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 051296217 | IL | Primary |
Addresses
Primary practice location
610 S County Farm Road
Wheaton, IL 60187
Mailing address
3220 N Wolcott Ave # 1
Chicago, IL 60657-2039
Phone (714) 906-8124
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 |
|---|---|---|---|
| 051296217 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1275870677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 N WOLCOTT AVE # 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606572039",
"telephone_number": "714-906-8124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S COUNTY FARM ROAD",
"city": "WHEATON",
"state": "IL",
"postal_code": "60187",
"telephone_number": "630-510-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MY PHUONG",
"middle_name": "LUU",
"name_prefix": "Ms.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-07",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051296217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.