Active NPI
Quynh Van Nguyen, RPH
- Pharmacist
- Anaheim, CA
National Provider Identifier
1477941458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71966
- Practice address
- 2222 E Lincoln Ave
Anaheim, CA 92806-4107 - Phone
- (714) 517-0204
- NPI assigned
- Dec 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 71966 | CA | Primary |
Addresses
Primary practice location
2222 E Lincoln Ave
Anaheim, CA 92806-4107
Mailing address
2706 N Linwood St
Santa Ana, CA 92705-6833
Phone (714) 417-7216
Other practice location 1
1735 E Walnut Ave
Visalia, CA 93292-1394
Phone (559) 625-3831
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71966 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
dba Rite Aid Pharmacy 06459
- Community/Retail Pharmacy
- Visalia, CA
- NPI 1720197064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1477941458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 N LINWOOD ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927056833",
"telephone_number": "714-417-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 E LINCOLN AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928064107",
"telephone_number": "714-517-0204"
}
],
"practiceLocations": [
{
"address_1": "1735 E Walnut Ave",
"address_purpose": "LOCATION",
"city": "Visalia",
"state": "CA",
"postal_code": "932921394",
"country_code": "US",
"telephone_number": "559-625-3831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "QUYNH",
"middle_name": "VAN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-29",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "71966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.