Active NPI
Jill Ruth Nguyen, PHARMD
- Pharmacist
- Tucson, AZ
National Provider Identifier
1689925737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S019283
- Practice address
- 615 N Alvernon Way
Tucson, AZ 85711-1900 - Phone
- (520) 320-1184
- NPI assigned
- Sep 28, 2012
- Last updated
- Sep 28, 2012
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | S019283 | AZ | Primary |
Addresses
Primary practice location
615 N Alvernon Way
Tucson, AZ 85711-1900
Mailing address
4121 E Agate Knoll Dr
Tucson, AZ 85756-3049
Phone (480) 703-4372
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 |
|---|---|---|---|
| S019283 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1689925737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4121 E AGATE KNOLL DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857563049",
"telephone_number": "480-703-4372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N ALVERNON WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111900",
"telephone_number": "520-320-1184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JILL",
"middle_name": "RUTH",
"name_prefix": "Miss",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-28",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S019283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.