Organization Active NPI

Phuc T Nguyen

  • Pharmacist
  • Fullerton, CA
National Provider Identifier
1477548816
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY44273 Issued in CA
Legal business name
PHUC T NGUYEN
Practice address
2605 W Orangethorpe Ave
Fullerton, CA 92833-4209
Phone
(714) 449-0448
Fax
(714) 449-0987
NPI assigned
Sep 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

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

Authorized official

Name
Mrs. Phuc Thi Nguyen, RPH
Title
Owner / Pic
Phone
(714) 449-0448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PHY44273 CA Primary

Addresses

Primary practice location

2605 W Orangethorpe Ave
Fullerton, CA 92833-4209

Mailing address

2605 W Orangethorpe Ave
Fullerton, CA 92833-4209
Phone (714) 449-0448

Other identifiers 1

IdentifierTypeStateIssuer
PHA442730MedicaidCA

Other names 1

  • Quality Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2605 W Orangethorpe Ave
Fullerton, CA 92833
Phone (714) 449-0448

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1477548816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334209",
            "telephone_number": "714-449-0448",
            "fax_number": "714-449-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334209",
            "telephone_number": "714-449-0448",
            "fax_number": "714-449-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUC T NGUYEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHUC",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "OWNER / PIC",
        "authorized_official_telephone_number": "714-449-0448",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY44273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA442730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.