Active NPI
Avy Nguyen, RPH
- Pharmacist
- Culver City, CA
National Provider Identifier
1700496114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00009303
- Practice address
- 10772 Jefferson Blvd
Culver City, CA 90230-4933 - Phone
- (310) 836-2684
- Fax
- (310) 836-1598
- NPI assigned
- Aug 1, 2020
- Last updated
- May 17, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00009303 | NM | Primary |
| Pharmacist | 183500000X | RPH84013 | CA |
Addresses
Primary practice location
10772 Jefferson Blvd
Culver City, CA 90230-4933
Mailing address
10772 Jefferson Blvd
Culver City, CA 90230-4933
Phone (310) 836-2684
Other names 1
- Phuong Thi Thanh Nguyen
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH84013 | CA | MD | Pharmacist |
| RP00009303 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralphs Grocery Company | Past | Accepting new patients | |
| Ralphs Grocery Company | 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": "1596240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778976000000",
"number": "1700496114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10772 JEFFERSON BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304933",
"telephone_number": "310-836-2684",
"fax_number": "310-836-1598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10772 JEFFERSON BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304933",
"telephone_number": "310-836-2684",
"fax_number": "310-836-1598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "AVY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-01",
"last_updated": "2026-05-17",
"certification_date": "2026-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00009303",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH84013",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PHUONG",
"last_name": "NGUYEN",
"middle_name": "THI THANH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.