Active NPI
Billy Nguyen, PHARMACIST
- Pharmacist
- Laguna Beach, CA
National Provider Identifier
1710505383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48561
- Practice address
- 944 Glenneyre St
Laguna Beach, CA 92651-2717 - Phone
- (949) 494-6585
- Fax
- (949) 497-8679
- NPI assigned
- Jul 10, 2020
- Sex
- Male
- 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 | 48561 | CA | Primary |
Addresses
Primary practice location
944 Glenneyre St
Laguna Beach, CA 92651-2717
Mailing address
7515 21St St Apt C
Westminster, CA 92683-3941
Phone (714) 900-0234
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 |
|---|---|---|---|
| 48561 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1710505383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7515 21ST ST APT C",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926833941",
"telephone_number": "714-900-0234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 GLENNEYRE ST",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512717",
"telephone_number": "949-494-6585",
"fax_number": "949-497-8679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "BILLY",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-10",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "48561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.