Active NPI
Kody Khoi Nguyen
- Pharmacist
- Dickinson, TX
National Provider Identifier
1629733456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69169
- Practice address
- 1832 FM 646 Rd W
Dickinson, TX 77539-3202 - Phone
- (281) 614-5785
- NPI assigned
- Nov 5, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69169 | TX | Primary |
Addresses
Primary practice location
1832 FM 646 Rd W
Dickinson, TX 77539-3202
Mailing address
9207 Fuqua Breeze Dr
Houston, TX 77075-2075
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 |
|---|---|---|---|
| 69169 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1629733456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9207 FUQUA BREEZE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770752075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1832 FM 646 RD W",
"city": "DICKINSON",
"state": "TX",
"postal_code": "775393202",
"telephone_number": "281-614-5785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KODY",
"middle_name": "KHOI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-05",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "69169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dickinson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.