Individual provider Active NPI

Thao P Nguyen

  • Pharmacist
  • Las Vegas, NV
National Provider Identifier
1386966190
Registry record updated Feb 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15972 Issued in NV
Practice address
5051 E Bonanza Rd
Las Vegas, NV 89110-3514
Phone
(702) 459-1003
Fax
(702) 438-3053
NPI assigned
Feb 20, 2010
Last updated
Feb 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15972 NV Primary

Addresses

Primary practice location

5051 E Bonanza Rd
Las Vegas, NV 89110-3514

Mailing address

5051 E Bonanza Rd
Las Vegas, NV 89110-3514
Phone (702) 459-1003

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

LicenseStateTypeSpecialty
15972NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1266624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266624000000",
    "number": "1386966190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 E BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891103514",
            "telephone_number": "702-459-1003",
            "fax_number": "702-438-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 E BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891103514",
            "telephone_number": "702-459-1003",
            "fax_number": "702-438-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THAO",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-20",
        "last_updated": "2010-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "15972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2010; 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.