Active NPI
Phuong Anh Ngoc Nguyen
- Pharmacist
- Crystal River, FL
National Provider Identifier
1336920784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS65154
- Practice address
- 6201 N Suncoast Blvd
Crystal River, FL 34428-6712 - Phone
- (352) 795-6560
- NPI assigned
- Oct 11, 2023
- 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 | PS65154 | FL | Primary |
Addresses
Primary practice location
6201 N Suncoast Blvd
Crystal River, FL 34428-6712
Mailing address
4438 Tuner BND
Land O Lakes, FL 34638-8190
Phone (813) 486-8892
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 |
|---|---|---|---|
| PS65154 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1336920784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4438 TUNER BND",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346388190",
"telephone_number": "813-486-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 N SUNCOAST BLVD",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344286712",
"telephone_number": "352-795-6560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PHUONG ANH",
"middle_name": "NGOC",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-11",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS65154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal River, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.