Active NPI
Dominique Nguyen, BS PHARMACY
- Pharmacist
- Albertson, NY
National Provider Identifier
1295916294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046541
- Practice address
- 1140 Willis Ave
Albertson, NY 11507-1229 - Phone
- (516) 621-2466
- Fax
- (516) 621-5677
- NPI assigned
- Nov 18, 2007
- 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 | 046541 | NY | Primary |
Addresses
Primary practice location
1140 Willis Ave
Albertson, NY 11507-1229
Mailing address
1140 Willis Ave
Albertson, NY 11507-1229
Phone (516) 621-2466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01017550 | Medicaid | NY |
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046541 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195344000000",
"number": "1295916294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 WILLIS AVE",
"city": "ALBERTSON",
"state": "NY",
"postal_code": "115071229",
"telephone_number": "516-621-2466",
"fax_number": "516-621-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 WILLIS AVE",
"city": "ALBERTSON",
"state": "NY",
"postal_code": "115071229",
"telephone_number": "516-621-2466",
"fax_number": "516-621-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DOMINIQUE",
"name_prefix": "Mrs.",
"credential": "BS PHARMACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-18",
"last_updated": "2007-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01017550",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albertson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.