Active NPI
Hieu CHI Nguyen, PHARMD
- Pharmacist
- Port St Lucie, FL
National Provider Identifier
1609417245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS54052
- Practice address
- 1954 SW Gatlin Blvd
Port St Lucie, FL 34953-2722 - Phone
- (772) 224-3020
- Fax
- (772) 878-9388
- NPI assigned
- Oct 4, 2019
- Last updated
- Dec 21, 2022
- 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 | PS54052 | FL | Primary |
Addresses
Primary practice location
1954 SW Gatlin Blvd
Port St Lucie, FL 34953-2722
Mailing address
2673 SE Bikas LN
Port Saint Lucie, FL 34952-7114
Phone (646) 662-4626
Other practice location 1
1705 US 1
Vero Beach, FL 32960-5544
Phone (772) 569-1414
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 |
|---|---|---|---|
| PS54052 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1954 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 224-3020
Organizations & group practices 3
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": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1609417245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2673 SE BIKAS LN",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349527114",
"telephone_number": "646-662-4626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1954 SW GATLIN BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349532722",
"telephone_number": "772-224-3020",
"fax_number": "772-878-9388"
}
],
"practiceLocations": [
{
"address_1": "1705 US 1",
"address_purpose": "LOCATION",
"city": "Vero Beach",
"state": "FL",
"postal_code": "329605544",
"country_code": "US",
"telephone_number": "772-569-1414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "HIEU",
"middle_name": "CHI",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-04",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS54052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.