Active NPI
Bao Hoai Nguyen, PHARMD
- Pharmacist
- Brooksville, FL
National Provider Identifier
1689073710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS52243
- Practice address
- 20020 Cortez Blvd
Brooksville, FL 34601-3834 - Phone
- (863) 838-5363
- NPI assigned
- Aug 14, 2014
- Last updated
- Aug 14, 2014
- 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 | PS52243 | FL | Primary |
Addresses
Primary practice location
20020 Cortez Blvd
Brooksville, FL 34601-3834
Mailing address
5420 Highlands Vue LN
Lakeland, FL 33812-3244
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 |
|---|---|---|---|
| PS52243 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1689073710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 HIGHLANDS VUE LN",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338123244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20020 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346013834",
"telephone_number": "863-838-5363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "BAO",
"middle_name": "HOAI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS52243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooksville, FL
- New Age Medical Center
- New Horizons Mental Health LLC
- Alexis Elizabeth Newberry
- Newsom Eye & Laser Center, Inc. (Hernando Eye Institute)
- Nextgen ABA Therapy
- Catherine Nguyen, MD
- Hoang Anh Xuan Nguyen
- Nic 4 Spring Oaks Leasing LLC (Spring Oaks)
- Nic 4 the Grande Leasing LLC (The Grande)
- Tamara Leigh Nickerson, CPHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.