Active NPI
Audrey Nguyen
- Pharmacist
- Portland, OR
National Provider Identifier
1457741068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0016765
- Practice address
- 3325 N Interstate Ave
Portland, OR 97227-1020 - Phone
- (503) 813-2000
- NPI assigned
- Feb 3, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pharmacist | 183500000X | RPH-0016765 | OR | Primary |
Addresses
Primary practice location
3325 N Interstate Ave
Portland, OR 97227-1020
Mailing address
4611 SE Salmon St
Portland, OR 97215-2541
Other practice location 1
420 N 18th St Apt 311
Richmond, VA 23223-6394
Phone (512) 670-6995
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | audrey.k.nguyen@kp.org | Kaiser Foundation Health Plan of the Northwest |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0016765 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1457741068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 SE SALMON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972152541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 N INTERSTATE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271020",
"telephone_number": "503-813-2000"
}
],
"practiceLocations": [
{
"address_1": "420 N 18th St Apt 311",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232236394",
"country_code": "US",
"telephone_number": "512-670-6995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "AUDREY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-03",
"last_updated": "2023-11-27",
"certification_date": "2020-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0016765",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "audrey.k.nguyen@kp.org",
"affiliation": "Y",
"endpointDescription": "Work Email",
"affiliationName": "Kaiser Foundation Health Plan of the Northwest",
"address_1": "3325 N Interstate Ave",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972271020",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.