Individual provider Active NPI

CHI Lan Nguyen-Johnson, PHARMD

  • Pharmacist
  • Jbsa-Lackland, TX
National Provider Identifier
1457593105
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13698 Issued in NE
Practice address
1110 Wilford Hall Loop
BLDG 4554
Jbsa-Lackland, TX 78236
Phone
(210) 292-4808
NPI assigned
Mar 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13698 NE Primary

Addresses

Primary practice location

1110 Wilford Hall Loop
BLDG 4554
Jbsa-Lackland, TX 78236

Mailing address

1110 Wilford Hall Loop
BLDG 4554
Jbsa-Lackland, TX 78236
Phone (210) 292-4808

Other names 1

  • CHI Lan Nguyen Former name

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
13698NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1457593105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 WILFORD HALL LOOP",
            "address_2": "BLDG 4554",
            "city": "JBSA-LACKLAND",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-292-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 WILFORD HALL LOOP",
            "address_2": "BLDG 4554",
            "city": "JBSA-LACKLAND",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-292-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN-JOHNSON",
        "first_name": "CHI",
        "middle_name": "LAN",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "13698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHI",
            "last_name": "NGUYEN",
            "middle_name": "LAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jbsa-Lackland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.