Active NPI
Mike (Huy) Minh Nguyen, RPH, PHARMD
- Pharmacist
- Gresham, OR
National Provider Identifier
1326414202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 0014864
- Practice address
- 24800 SE Stark St
Gresham, OR 97030-3378 - Phone
- (503) 674-1525
- Fax
- (503) 674-1650
- NPI assigned
- Aug 14, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 0014864 | OR | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0014864 | OR |
Addresses
Primary practice location
24800 SE Stark St
Gresham, OR 97030-3378
Mailing address
4831 SE Ankeny St
Portland, OR 97215-1137
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 0014864 | OR | MD | Pharmacist |
| RPH-0014864 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1326414202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4831 SE ANKENY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24800 SE STARK ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303378",
"telephone_number": "503-674-1525",
"fax_number": "503-674-1650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MIKE (HUY)",
"middle_name": "MINH",
"credential": "RPH, PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-14",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH 0014864",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0014864",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.