Individual provider Active NPI

John DC Nguyen, RPH

  • Pharmacist
  • Seattle, WA
National Provider Identifier
1710580196
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00014770 Issued in WA
Practice address
2120 Rainier Ave S
Seattle, WA 98144-4623
Phone
(206) 323-9525
Fax
(206) 323-9526
NPI assigned
Nov 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00014770 WA Primary

Addresses

Primary practice location

2120 Rainier Ave S
Seattle, WA 98144-4623

Mailing address

2120 Rainier Ave S
Seattle, WA 98144-4623
Phone (206) 323-9525

Other practice location 1

1221 S Main St
Seattle, WA 98144-2089
Phone (206) 323-6003

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

LicenseStateTypeSpecialty
PH00014770WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyens Pharmacy and Gifts Inc Current Accepting new patients
Nguyens Pharmacy & Gifts Inc CurrentSince Nov 22, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1710580196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444623",
            "telephone_number": "206-323-9525",
            "fax_number": "206-323-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444623",
            "telephone_number": "206-323-9525",
            "fax_number": "206-323-9526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 S Main St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981442089",
            "country_code": "US",
            "telephone_number": "206-323-6003",
            "fax_number": "206-323-6552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JOHN",
        "middle_name": "DC",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00014770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.