Individual provider Active NPI

Tin Huy Nguyen, PHARM.D.

  • Pharmacy
  • Tampa, FL
National Provider Identifier
1629348958
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH25203 Issued in FL
Practice address
7108 Causeway Blvd
Tampa, FL 33619-6364
Phone
(813) 628-4441
Fax
(813) 628-4442
NPI assigned
Jan 3, 2012
Last updated
May 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS36840 FL
Community/Retail Pharmacy 3336C0003X
Pharmacy 333600000X PH25203 FL Primary

Addresses

Primary practice location

7108 Causeway Blvd
Tampa, FL 33619-6364

Mailing address

16320 Bridgelawn Ave
Lithia, FL 33547-4850
Phone (813) 628-4441

Other identifiers 1

IdentifierTypeStateIssuer
003203900MedicaidFL

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

LicenseStateTypeSpecialty
PS36840FLMDPharmacist
PH25203FLMDPharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
My Pharmacy of Tampa LLC Pharmacy CurrentSince May 9, 2021 Accepting new patients
My Pharmacy of Brandon, LLC Pharmacy Current Accepting new patients
Medcentral Corporation Past Accepting new patients

Locations

7108 Causeway Blvd
Tampa, FL 33619
Phone (813) 628-4400

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": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1629348958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16320 BRIDGELAWN AVE",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474850",
            "telephone_number": "813-628-4441",
            "fax_number": "813-628-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 CAUSEWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336196364",
            "telephone_number": "813-628-4441",
            "fax_number": "813-628-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TIN",
        "middle_name": "HUY",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS36840",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH25203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003203900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.