Individual provider Active NPI

Phuong Tran Nguyen, PHARMD

  • Pharmacist
  • Polacca, AZ
National Provider Identifier
1467071878
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26599 Issued in MD
Practice address
Hwy 264 MP 388
Hopi Health Care Center
Polacca, AZ 86042
Phone
(928) 737-6100
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26599 MD Primary

Addresses

Primary practice location

Hwy 264 MP 388
Hopi Health Care Center
Polacca, AZ 86042

Mailing address

PO Box 31
Keams Canyon, AZ 86034-0031
Phone (928) 737-6195

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

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1467071878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31",
            "city": "KEAMS CANYON",
            "state": "AZ",
            "postal_code": "860340031",
            "telephone_number": "928-737-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 264 MP 388",
            "address_2": "HOPI HEALTH CARE CENTER",
            "city": "POLACCA",
            "state": "AZ",
            "postal_code": "86042",
            "telephone_number": "928-737-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN NGUYEN",
        "first_name": "PHUONG",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "26599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polacca, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.