Active NPI
Jimmy Nguyen
- Ambulatory Care Pharmacist
- Salt Lake City, UT
National Provider Identifier
1487295952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 8522028-1701
- Practice address
- 828 S 900 W
Salt Lake City, UT 84104-1455 - Phone
- (801) 364-2564
- Fax
- (801) 363-4633
- NPI assigned
- Oct 4, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 8522028-1701 | UT | Primary |
Addresses
Primary practice location
828 S 900 W
Salt Lake City, UT 84104-1455
Mailing address
828 S 900 W
Salt Lake City, UT 84104-1455
Phone (801) 364-2564
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 |
|---|---|---|---|
| 8522028-1701 | UT | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith's Food & Drug Centers Inc | Past | Accepting new patients | |
| Smiths Food & Drug Centers Inc | Past | Accepting new patients |
Organizations & group practices 2
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 Smiths Pharmacy #80
- Community/Retail Pharmacy
- Salt Lake City, UT
- NPI 1871518407
-
dba Smith's Pharmacy #303
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1881585248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1487295952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 S 900 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841041455",
"telephone_number": "801-364-2564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 S 900 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841041455",
"telephone_number": "801-364-2564",
"fax_number": "801-363-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JIMMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "UT",
"license": "8522028-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.