Lan Thuy-Phan Nguyen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS58721 Issued in FL

Practice address

7546 103Rd St
Jacksonville, FL 32210-6713

Phone

(904) 777-3050

Fax

(904) 777-6568

NPI assigned

Nov 6, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Jacksonville, FL
  • NPI 1497762470
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1366910481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7546 103RD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106713",
            "telephone_number": "904-982-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7546 103RD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106713",
            "telephone_number": "904-777-3050",
            "fax_number": "904-777-6568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9634 Broken Oak Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322578815",
            "country_code": "US",
            "telephone_number": "904-982-4613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LAN",
        "middle_name": "THUY-PHAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Nguyen, MSW
• Kattie Nguyen
• Kenny Nguyen, MD
• Kim CHI Thi Nguyen, DNP
• Lan Nguyen, CRNA
• Linh Nguyen, DMD
• Lisa Nguyen
• Ly Nguyen, PHARM.D.,BCPS
• Michael Nguyen, PA-C
• Minh P Nguyen, PHARMD

• Pharmacist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.