Dominique Nguyen, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PS54063 Issued in FL

Practice address

6308 Benjamin Rd Ste 709
Tampa, FL 33634-5174

Phone

(727) 896-0001

Fax

(727) 896-0002

NPI assigned

Apr 6, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Corexa Pharmacy LLC

  • Pharmacy
  • Lakeland, FL
  • NPI 1417579863
  NPD
• Corexa Pharmacy LLC

  • Community/Retail Pharmacy
  • Lakeland, FL
  • NPI 1982900981
  NPD (past)

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1285263871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 FALLEN LEAF DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784740",
            "telephone_number": "954-328-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 BENJAMIN RD STE 709",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345174",
            "telephone_number": "727-896-0001",
            "fax_number": "727-896-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3820 Northdale Blvd Ste 311A",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336241857",
            "country_code": "US",
            "telephone_number": "813-968-3544 x311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DOMINIQUE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PS54063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "PS54063",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dnguyen@comsprx.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6308 Benjamin Rd Ste 709",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336345174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cam Loan Thi Nguyen
• Casie Nguyen, MS, RD, LD
• Christina Vu Nguyen
• Danny Phuong Nguyen
• Dave D Nguyen, RPH
• Doug Q Nguyen, DDS
• Dylan Huy Nguyen, OD
• Emily Nguyen
• Gwen A. Nguyen, SW
• Haidong Nguyen, MD

• Community/Retail Pharmacy in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.