Active NPI
Jason Bao Nghiem
- Pharmacist
- Palmdale, CA
National Provider Identifier
1447563895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57948
- Practice address
- 2419 E Avenue S
Palmdale, CA 93550-6202 - Phone
- (661) 274-4333
- Fax
- (661) 274-8015
- NPI assigned
- Jul 14, 2010
- Last updated
- Jul 14, 2010
- Sex
- Male
- 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 | 57948 | CA | Primary |
Addresses
Primary practice location
2419 E Avenue S
Palmdale, CA 93550-6202
Mailing address
41463 Alexo Dr
Lancaster, CA 93536-2333
Phone (714) 932-7330
Other names 1
- Mr. Thuy Bao Nghiem
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
dba Rite Aid Pharmacy 06396
- Community/Retail Pharmacy
- Palmdale, CA
- NPI 1508975962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1447563895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41463 ALEXO DR",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935362333",
"telephone_number": "714-932-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2419 E AVENUE S",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935506202",
"telephone_number": "661-274-4333",
"fax_number": "661-274-8015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGHIEM",
"first_name": "JASON",
"middle_name": "BAO",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-14",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "57948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THUY",
"last_name": "NGHIEM",
"middle_name": "BAO",
"prefix": "MR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.