Gary Quang Ngoc, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

86627 Issued in CA

Practice address

5688 Telephone Rd
Ventura, CA 93003-5326

Phone

(805) 644-5922

NPI assigned

Jan 8, 2021

Reactivated

Sep 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Safeway Inc

  • Community/Retail Pharmacy
  • American Canyon, CA
  • NPI 1205865235
  NPD (past)
• Vons Companies Inc

  • Community/Retail Pharmacy
  • Ventura, CA
  • NPI 1083640866
  NPD (past)
• Vons Companies Inc

  • Community/Retail Pharmacy
  • Santa Monica, CA
  • NPI 1720879919
  NPD (past)
• Safeway Inc

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1316535875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5688 TELEPHONE RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035326",
            "telephone_number": "805-644-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5688 TELEPHONE RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035326",
            "telephone_number": "805-644-5922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 W American Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "American Canyon",
            "state": "CA",
            "postal_code": "945031112",
            "country_code": "US",
            "telephone_number": "707-649-5160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Club Dr",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945921187",
            "country_code": "US",
            "telephone_number": "707-638-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGOC",
        "first_name": "GARY",
        "middle_name": "QUANG",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-08",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "deactivation_date": "2022-08-27",
        "reactivation_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "INT43686",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "86627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Newman
• Eleyna Newton
• Pearl Yea-Ching Nghe
• Danielle Ngo
• John Ngo, DO
• Aaron Q Nguyen
• Anh Quynh Nguyen, DO
• Brandon Nguyen
• Chau Tuan Nguyen, M.D.
• Danvi Nguyen

• Pharmacist in Ventura, CA
• Providers in Ventura, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.