Active NPI
Elisabeth Nguyen, PHARMD
- Pharmacist
- Stockton, CA
National Provider Identifier
1336901289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 89041
- Practice address
- 5713 N Pershing Ave Ste A3
Stockton, CA 95207-4910 - Phone
- (209) 488-7770
- NPI assigned
- Jan 26, 2024
- Sex
- Female
- 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 | 89041 | CA | Primary |
Addresses
Primary practice location
5713 N Pershing Ave Ste A3
Stockton, CA 95207-4910
Mailing address
5713 N Pershing Ave Ste A3
Stockton, CA 95207-4910
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1336901289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5713 N PERSHING AVE STE A3",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952074910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5713 N PERSHING AVE STE A3",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952074910",
"telephone_number": "209-488-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ELISABETH",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-26",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "89041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.