Active NPI
Jenny Diemmy Nguyen, PHARMD
- Pharmacist
- Garden Grove, CA
National Provider Identifier
1710596986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80657
- Practice address
- 13872 Harbor Blvd Ste 1a
Garden Grove, CA 92843-4000 - Phone
- (714) 554-4754
- Fax
- (714) 554-4854
- NPI assigned
- Jul 23, 2020
- 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 | 80657 | CA | Primary |
Addresses
Primary practice location
13872 Harbor Blvd Ste 1a
Garden Grove, CA 92843-4000
Mailing address
13872 Harbor Blvd Ste 1a
Garden Grove, CA 92843-4000
Phone (714) 554-4754
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)
- Enrolled
- Credentials
- Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1710596986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13872 HARBOR BLVD STE 1A",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434000",
"telephone_number": "714-554-4754",
"fax_number": "714-554-4854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13872 HARBOR BLVD STE 1A",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434000",
"telephone_number": "714-554-4754",
"fax_number": "714-554-4854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JENNY",
"middle_name": "DIEMMY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.