Individual provider Active NPI

Andrew Hoai Nguyen, PHARM.D

  • Pharmacist
  • Stanton, CA
National Provider Identifier
1427327386
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
56288 Issued in CA
Practice address
12505 Beach Blvd Ste A2
Stanton, CA 90680-4020
Phone
(714) 584-9599
Fax
(714) 248-9115
NPI assigned
Dec 22, 2011
Last updated
Mar 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 56288 CA Primary

Addresses

Primary practice location

12505 Beach Blvd Ste A2
Stanton, CA 90680-4020

Mailing address

12505 Beach Blvd Ste A2
Stanton, CA 90680-4020
Phone (714) 584-9599

Other identifiers 1

IdentifierTypeStateIssuer
18350000OtherCAPHARMACY SERVICE

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
56288CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
VN Care Pharmacy, Inc. Current Accepting new patients
VN Care Pharmacy, Inc. Current Accepting new patients
Ayden & Kenny Pharmacy,Inc Current Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Locations

12505 Beach Blvd
Ste A2
Stanton, CA 90680
Phone (714) 584-9599

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1427327386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 BEACH BLVD STE A2",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906804020",
            "telephone_number": "714-584-9599",
            "fax_number": "714-248-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 BEACH BLVD STE A2",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906804020",
            "telephone_number": "714-584-9599",
            "fax_number": "714-248-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANDREW",
        "middle_name": "HOAI",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-22",
        "last_updated": "2022-03-05",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "56288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY SERVICE",
            "identifier": "18350000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.