Individual provider Active NPI

Eric Ngoc Nguyen

  • Pharmacist
  • Lancaster, TX
National Provider Identifier
1497065148
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
38760 Issued in TX
Practice address
2962 S Longhorn Dr
Lancaster, TX 75134-2118
Phone
(972) 228-5645
Fax
(972) 228-5646
NPI assigned
Oct 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 38760 TX Primary

Addresses

Primary practice location

2962 S Longhorn Dr
Lancaster, TX 75134-2118

Mailing address

204 Odyssey LN
Mansfield, TX 76063-3438
Phone (817) 975-9481

Other names 1

  • Mr. Eric Ngoc Nguyen Professional name

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

LicenseStateTypeSpecialty
38760TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
VA Cmop Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1497065148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ODYSSEY LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633438",
            "telephone_number": "817-975-9481",
            "fax_number": "817-453-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2962 S LONGHORN DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751342118",
            "telephone_number": "972-228-5645",
            "fax_number": "972-228-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ERIC",
        "middle_name": "NGOC",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "38760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "NGUYEN",
            "middle_name": "NGOC",
            "prefix": "MR.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lancaster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.