Individual provider Active NPI

Tammy Thao Nguyen, PHARMD

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1285271353
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
80971 Issued in CA
Practice address
4776 El Cajon Blvd Ste 105
San Diego, CA 92115-4521
Phone
(619) 278-1207
NPI assigned
Dec 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 80971 CA Primary

Addresses

Primary practice location

4776 El Cajon Blvd Ste 105
San Diego, CA 92115-4521

Mailing address

4059 Vista Grande Dr
San Diego, CA 92115-6816
Phone (619) 287-1206

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
80971CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn Pharmacy CurrentSince Apr 1, 2025 Accepting new patients
Dawn Pharmacy CurrentSince Aug 10, 2025 Accepting new patients

Locations

4776 El Cajon Blvd
Ste 105
San Diego, CA 92115
Phone (619) 278-1207

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1575676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1285271353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4059 VISTA GRANDE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156816",
            "telephone_number": "619-287-1206",
            "fax_number": "619-287-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4776 EL CAJON BLVD STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154521",
            "telephone_number": "619-278-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAMMY",
        "middle_name": "THAO",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-07",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "80971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.