Active NPI
Brian Nghiem
- Pharmacist
- El Dorado Hills, CA
National Provider Identifier
1326513789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77497
- Practice address
- 4400 Latrobe Rd
El Dorado Hills, CA 95762-6704 - Phone
- (916) 934-0133
- NPI assigned
- Oct 11, 2018
- Last updated
- Oct 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 77497 | CA | Primary |
Addresses
Primary practice location
4400 Latrobe Rd
El Dorado Hills, CA 95762-6704
Mailing address
3136 Borgata Way
El Dorado Hills, CA 95762-5436
Phone (916) 342-4856
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77497 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | 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.
-
dba CVS Pharmacy #03909
- Pharmacy
- El Dorado Hills, CA
- NPI 1376586123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1326513789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3136 BORGATA WAY",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957625436",
"telephone_number": "916-342-4856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 LATROBE RD",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957626704",
"telephone_number": "916-934-0133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGHIEM",
"first_name": "BRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-11",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.