Active NPI
An Eric Nguyen
- Pharmacist
- Corona, CA
National Provider Identifier
1518629369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59177
- Practice address
- 601 W 6TH St
Corona, CA 92882-3210 - Phone
- (951) 406-1521
- NPI assigned
- Oct 8, 2021
- Last updated
- Oct 8, 2021
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 59177 | CA | Primary |
Addresses
Primary practice location
601 W 6TH St
Corona, CA 92882-3210
Mailing address
12402 Dale St
Garden Grove, CA 92841-3277
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxor Pharmacy Corp | Current | Accepting new patients | |
| Tap Pharmacy, Inc. | Current | Accepting new patients |
Locations
601 W 6th St
Corona, CA 92882
Phone (951) 406-1521
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1518629369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12402 DALE ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928413277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W 6TH ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928823210",
"telephone_number": "951-406-1521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "AN",
"middle_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-08",
"last_updated": "2021-10-08",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "59177",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "601 W 6th St",
"city": "Corona",
"state": "CA",
"country_code": "US",
"postal_code": "928823210",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.