Active NPI
Hoang My Nguyen, PHARM.D.
- Pharmacist
- Lake Forest, CA
National Provider Identifier
1417679242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 86759
- Practice address
- 24382 Muirlands Blvd
Lake Forest, CA 92630-3679 - Phone
- (949) 598-9088
- NPI assigned
- Sep 19, 2022
- 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 | 86759 | CA | Primary |
Addresses
Primary practice location
24382 Muirlands Blvd
Lake Forest, CA 92630-3679
Mailing address
1602 N King St Apt J3
Santa Ana, CA 92706-3263
Phone (714) 907-2983
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86759 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1417679242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 N KING ST APT J3",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063263",
"telephone_number": "714-907-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24382 MUIRLANDS BLVD",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926303679",
"telephone_number": "949-598-9088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HOANG",
"middle_name": "MY",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "86759",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "24382 Muirlands Blvd",
"city": "Lake Forest",
"state": "CA",
"country_code": "US",
"postal_code": "926303679",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.