Active NPI
Kim Luc-Nguyen, PHARM.D.
- Pharmacist
- Murrieta, CA
National Provider Identifier
1538436712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50715
- Practice address
- 40663 California Oaks Rd
Murrieta, CA 92562-5729 - Phone
- (951) 304-1219
- Fax
- (951) 698-2530
- NPI assigned
- Nov 16, 2011
- Sex
- Female
- 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 | 50715 | CA | Primary |
Addresses
Primary practice location
40663 California Oaks Rd
Murrieta, CA 92562-5729
Mailing address
40663 California Oaks Rd
Murrieta, CA 92562-5729
Phone (951) 304-1219
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50715 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, 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": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1538436712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40663 CALIFORNIA OAKS RD",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625729",
"telephone_number": "951-304-1219",
"fax_number": "951-698-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40663 CALIFORNIA OAKS RD",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625729",
"telephone_number": "951-304-1219",
"fax_number": "951-698-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUC-NGUYEN",
"first_name": "KIM",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-16",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "50715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.