Active NPI
Jeffrey Nguyen Cao, PHARMACIST
- Pharmacist
- Fairfax, VA
National Provider Identifier
1629672084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1920855
- Practice address
- 11885 Grand Commons Ave Apt 308
Fairfax, VA 22030-8626 - Phone
- (412) 951-5106
- NPI assigned
- Nov 25, 2020
- 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 | 1920855 | VA | Primary |
Addresses
Primary practice location
11885 Grand Commons Ave Apt 308
Fairfax, VA 22030-8626
Mailing address
11885 Grand Commons Ave Apt 308
Fairfax, VA 22030-8626
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1920855 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1629672084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11885 GRAND COMMONS AVE APT 308",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220308626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11885 GRAND COMMONS AVE APT 308",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220308626",
"telephone_number": "412-951-5106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAO",
"first_name": "JEFFREY",
"middle_name": "NGUYEN",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-25",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "1920855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.