Active NPI
Jannie Nguyen, RPH
- Pharmacist
- Riverside, CA
National Provider Identifier
1487193728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56689
- Practice address
- 14305 Meridian Pkwy
Riverside, CA 92518-3034 - Phone
- (951) 251-7520
- Fax
- (951) 251-7502
- NPI assigned
- Feb 20, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 56689 | CA | Primary |
Addresses
Primary practice location
14305 Meridian Pkwy
Riverside, CA 92518-3034
Mailing address
11201 Benton St
Loma Linda, CA 92357-1000
Phone (909) 825-7084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487193728 | Other | CA | PHARMACIST |
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 |
|---|---|---|---|
| 56689 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1487193728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11201 BENTON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923571000",
"telephone_number": "909-825-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14305 MERIDIAN PKWY",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925183034",
"telephone_number": "951-251-7520",
"fax_number": "951-251-7502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JANNIE",
"name_prefix": "Miss",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-20",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "56689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "1487193728",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.