Active NPI
Brooke Nguyen, PHARMD
- Pharmacist
- Henderson, NV
National Provider Identifier
1306626486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S026692
- Practice address
- 1551 W Sunset Rd
Henderson, NV 89014-6636 - Phone
- (702) 443-6536
- Fax
- (702) 443-8415
- NPI assigned
- Oct 4, 2023
- Last updated
- Mar 7, 2024
- 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 | S026692 | AZ | Primary |
Addresses
Primary practice location
1551 W Sunset Rd
Henderson, NV 89014-6636
Mailing address
1551 W Sunset Rd
Henderson, NV 89014-6636
Phone (702) 443-6536
Other practice location 1
7499 E Broadway Blvd
Tucson, AZ 85710-1410
Phone (520) 296-6222
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 |
|---|---|---|---|
| S026692 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Past | Accepting new patients | |
| Arizona CVS Stores LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1306626486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 W SUNSET RD",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890146636",
"telephone_number": "702-443-6536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 W SUNSET RD",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890146636",
"telephone_number": "702-443-6536",
"fax_number": "702-443-8415"
}
],
"practiceLocations": [
{
"address_1": "7499 E Broadway Blvd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857101410",
"country_code": "US",
"telephone_number": "520-296-6222",
"fax_number": "520-296-6666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "BROOKE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-04",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S026692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.