Active NPI
Thy Minh Nguyen, PHARM.D.
- Pharmacist
- Rancho Mirage, CA
National Provider Identifier
1316220361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63250
- Practice address
- 72027 Dinah Shore Dr
Rancho Mirage, CA 92270-1781 - Phone
- (760) 321-4892
- Fax
- (760) 770-3924
- NPI assigned
- Sep 26, 2011
- Last updated
- Sep 26, 2011
- 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 | 63250 | CA | Primary |
Addresses
Primary practice location
72027 Dinah Shore Dr
Rancho Mirage, CA 92270-1781
Mailing address
PO Box 11882
Palm Desert, CA 92255-1882
Phone (714) 487-3513
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 |
|---|---|---|---|
| 63250 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1316220361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11882",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922551882",
"telephone_number": "714-487-3513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72027 DINAH SHORE DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701781",
"telephone_number": "760-321-4892",
"fax_number": "760-770-3924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THY",
"middle_name": "MINH",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "63250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.