Active NPI
Eric Ngoc Nguyen
- Pharmacist
- Lancaster, TX
National Provider Identifier
1497065148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38760
- 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
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 | 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
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 |
|---|---|---|---|
| 38760 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- VA Clinic/Center
- Lancaster, TX
- NPI 1730344318
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.