Organization Active NPI

Linh Q Nguyen

  • Community/Retail Pharmacy
  • Tacoma, WA
National Provider Identifier
1306918107
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHARCF00003071 Issued in WA
Legal business name
LINH Q NGUYEN
Doing business as
MAI LINH PHARMACY
Practice address
1211 S 11TH St
Tacoma, WA 98405-4020
Phone
(253) 383-2576
Fax
(253) 383-2598
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Linh Nguyen
Title
Owner
Phone
(253) 383-2576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHARCF00003071 WA Primary

Addresses

Primary practice location

1211 S 11TH St
Tacoma, WA 98405-4020

Mailing address

1211 S 11TH St
Tacoma, WA 98405-4020
Phone (253) 383-2576

Other identifiers 2

IdentifierTypeStateIssuer
6003768MedicaidWA
2108440OtherPK

Other names 1

  • MAI LINH PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1211 S 11th St
Tacoma, WA 98405
Phone (253) 383-2576

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1306918107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S 11TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054020",
            "telephone_number": "253-383-2576",
            "fax_number": "253-383-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S 11TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054020",
            "telephone_number": "253-383-2576",
            "fax_number": "253-383-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINH Q NGUYEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-383-2576"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHARCF00003071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003768",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2108440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAI LINH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.