Active NPI
Thuy Thanh Nguyen
- Pharmacist
- Tracy, CA
National Provider Identifier
1366004806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54223
- Practice address
- 1885 W 11TH St
Tracy, CA 95376-3727 - Phone
- (209) 836-1460
- NPI assigned
- Jul 4, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 54223 | CA | Primary |
Addresses
Primary practice location
1885 W 11TH St
Tracy, CA 95376-3727
Mailing address
477 N Palo Alto St
Mountain House, CA 95391-1199
Phone (650) 218-7026
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 |
|---|---|---|---|
| 54223 | CA | MD | General Practice Dentistry |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562198400000",
"number": "1366004806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 N PALO ALTO ST",
"city": "MOUNTAIN HOUSE",
"state": "CA",
"postal_code": "953911199",
"telephone_number": "650-218-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 W 11TH ST",
"city": "TRACY",
"state": "CA",
"postal_code": "953763727",
"telephone_number": "209-836-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THUY",
"middle_name": "THANH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-04",
"last_updated": "2019-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "54223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.