Individual provider Active NPI

Brendan Quoc-Anh Nguyen, PHARMD

  • Pharmacist
  • Richland, WA
National Provider Identifier
1417629015
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61180542 Issued in WA
Practice address
113 Bremmer St
Richland, WA 99352-8491
Phone
(509) 378-9063
NPI assigned
Oct 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH61180542 WA Primary

Addresses

Primary practice location

113 Bremmer St
Richland, WA 99352-8491

Mailing address

113 Bremmer St
Richland, WA 99352-8491
Phone (509) 378-9063

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brendan.nguyen@wsu.edu Direct Washington State University

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

State licenses

LicenseStateTypeSpecialty
PH61180542WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1417629015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BREMMER ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528491",
            "telephone_number": "509-378-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 BREMMER ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528491",
            "telephone_number": "509-378-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BRENDAN",
        "middle_name": "QUOC-ANH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61180542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brendan.nguyen@wsu.edu",
            "affiliation": "Y",
            "endpointDescription": "Email Address",
            "affiliationName": "Washington State University",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email Address",
            "address_1": "Bustad Hall Room 155N",
            "city": "Pullman",
            "state": "WA",
            "country_code": "US",
            "postal_code": "991640001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.