Active NPI
Trang H Nguyen
- Pharmacist
- Scotts Valley, CA
National Provider Identifier
1659991065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 81658
- Practice address
- 257 Mount Hermon Rd
Scotts Valley, CA 95066-4037 - Phone
- (831) 438-5920
- NPI assigned
- Apr 26, 2020
- Last updated
- Apr 26, 2020
- Sex
- Female
- 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 | 81658 | CA | Primary |
Addresses
Primary practice location
257 Mount Hermon Rd
Scotts Valley, CA 95066-4037
Mailing address
2050 Southwest Expy Apt 61
San Jose, CA 95126-4640
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 |
|---|---|---|---|
| 81658 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California LLC | Past | Accepting new patients |
Organizations & group practices 2
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": "1587859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587859200000",
"number": "1659991065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 SOUTHWEST EXPY APT 61",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951264640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 MOUNT HERMON RD",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950664037",
"telephone_number": "831-438-5920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRANG",
"middle_name": "H",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-26",
"last_updated": "2020-04-26",
"certification_date": "2020-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "81658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scotts Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.