Active NPI
Tuan T Nguyen
- Pharmacist
- Dearborn Heights, MI
National Provider Identifier
1336773241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 530231067
- Practice address
- 27250 W Canfield St Apt 201
Dearborn Heights, MI 48127-1039 - Phone
- (313) 268-0332
- NPI assigned
- Feb 29, 2020
- Last updated
- Feb 29, 2020
- 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 | 530231067 | MI | Primary |
Addresses
Primary practice location
27250 W Canfield St Apt 201
Dearborn Heights, MI 48127-1039
Mailing address
2235 E Grand River Ave
Howell, MI 48843-2479
Phone (517) 548-2401
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2345 | Other | MI | NONE |
| 9876 | Other | MI | NONE |
| 9877 | Other | MI | NONE |
| 1234 | Other | MI | NONE |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | None | ||
| CONNECT URL | None | ||
| CONNECT URL | None |
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 |
|---|---|---|---|
| 530231067 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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": "1582934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582934400000",
"number": "1336773241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 E GRAND RIVER AVE",
"city": "HOWELL",
"state": "MI",
"postal_code": "488432479",
"telephone_number": "517-548-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27250 W CANFIELD ST APT 201",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481271039",
"telephone_number": "313-268-0332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TUAN",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-29",
"last_updated": "2020-02-29",
"certification_date": "2020-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "530231067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "2345",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "9876",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "9877",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "1234",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "None",
"affiliation": "N",
"address_1": "27250 W Canfield St Apt 201",
"city": "Dearborn Heights",
"state": "MI",
"country_code": "US",
"postal_code": "481271039",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "None",
"affiliation": "N",
"address_1": "27250 W Canfield St Apt 201",
"city": "Dearborn Heights",
"state": "MI",
"country_code": "US",
"postal_code": "481271039",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "None",
"affiliation": "N",
"address_1": "27250 W Canfield St Apt 201",
"city": "Dearborn Heights",
"state": "MI",
"country_code": "US",
"postal_code": "481271039",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.