Individual provider Active NPI

Brooke Nguyen, PHARMD

  • Pharmacist
  • Henderson, NV
National Provider Identifier
1306626486
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S026692 Issued in AZ
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
S026692AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona CVS Stores LLC PastSince Oct 1, 2023 Accepting new patients
Arizona CVS Stores LLC PastSince Oct 1, 2023 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.

Verify at the official NPI Registry.