Individual provider Active NPI

Angel Myphuong Nguyenly

  • Pharmacist
  • Humble, TX
National Provider Identifier
1710561972
Registry record updated Aug 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
74407 Issued in TX
Practice address
7405 FM 1960 Rd E
Humble, TX 77346-3128
Phone
(281) 812-4729
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 74407 TX Primary

Addresses

Primary practice location

7405 FM 1960 Rd E
Humble, TX 77346-3128

Mailing address

7131 Hot Creek Trce
Humble, TX 77346-3098

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL NA
CONNECT URL NA

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

LicenseStateTypeSpecialty
74407TXMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1710561972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 HOT CREEK TRCE",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 FM 1960 RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463128",
            "telephone_number": "281-812-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYENLY",
        "first_name": "ANGEL",
        "middle_name": "MYPHUONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "74407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "7405 Fm 1960 Rd E",
            "city": "Humble",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773463128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "7405 Fm 1960 Rd E",
            "city": "Humble",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773463128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.