Active NPI
Janice Truc Nguyen, PHARMD
- Ambulatory Care Pharmacist
- Lake Odessa, MI
National Provider Identifier
1659954741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 5302414668
- Practice address
- 4294 Laurel Dr
Lake Odessa, MI 48849-8430 - Phone
- (616) 374-7660
- NPI assigned
- May 5, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 5302414668 | MI | Primary |
Addresses
Primary practice location
4294 Laurel Dr
Lake Odessa, MI 48849-8430
Mailing address
2496 Eden St SW
Wyoming, MI 49519-4110
Phone (616) 881-1819
Other practice location 1
1108 W State St Ste 3
Hastings, MI 49058-9711
Phone (269) 945-0922
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 |
|---|---|---|---|
| 5302414668 | MI | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1659954741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2496 EDEN ST SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495194110",
"telephone_number": "616-881-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4294 LAUREL DR",
"city": "LAKE ODESSA",
"state": "MI",
"postal_code": "488498430",
"telephone_number": "616-374-7660"
}
],
"practiceLocations": [
{
"address_1": "1108 W State St Ste 3",
"address_purpose": "LOCATION",
"city": "Hastings",
"state": "MI",
"postal_code": "490589711",
"country_code": "US",
"telephone_number": "269-945-0922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "JANICE",
"middle_name": "TRUC",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-05",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MI",
"license": "5302414668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Odessa, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.