Heather Nguyen
Individual provider Active NPI Pharmacist · Sterling, VA
NPI 1336744705 · NPPES record last updated Dec 2, 2020
Key facts
- NPI
- 1336744705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202204975 (VA)
- Practice address
- 401 Sterling Park Shopping Mall
Sterling, VA 20164 - Phone
- (703) 450-4588
- Fax
- (703) 444-9252
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202204975 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202204975 | VA | Yes |
Addresses
Primary practice location
401 Sterling Park Shopping Mall
Sterling, VA 20164
Mailing address
401 Sterling Park Shopping Mall
Sterling, VA 20164-3205
Phone (703) 450-4588
Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.