Active NPI
Tien Van Nguyen, PHARM D.
- Pharmacist
- Grapevine, TX
National Provider Identifier
1619237286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49478
- Practice address
- 1101 Ira E Woods Ave
Grapevine, TX 76051-4020 - Phone
- (817) 601-0350
- NPI assigned
- May 17, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 49478 | TX | Primary |
| Pharmacist | 183500000X | 019286 | LA |
Addresses
Primary practice location
1101 Ira E Woods Ave
Grapevine, TX 76051-4020
Mailing address
1580 Mira Lago Blvd
Apt. 177
Farmers Branch, TX 75234-6079
Phone (337) 251-6169
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 |
|---|---|---|---|
| 019286 | LA | MD | Pharmacist |
| 49478 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337212800000",
"number": "1619237286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 MIRA LAGO BLVD",
"address_2": "APT. 177",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752346079",
"telephone_number": "337-251-6169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 IRA E WOODS AVE",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760514020",
"telephone_number": "817-601-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TIEN",
"middle_name": "VAN",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-17",
"last_updated": "2012-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "49478",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "019286",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.