Active NPI
Hieu Huynh
- Pharmacist
- Lodi, CA
National Provider Identifier
1710895214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 92920
- Practice address
- 2449 W Kettleman LN
Lodi, CA 95242-4124 - Phone
- (209) 367-7882
- NPI assigned
- Aug 28, 2026
- Last updated
- Aug 28, 2026
- 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 | 92920 | CA | Primary |
Addresses
Primary practice location
2449 W Kettleman LN
Lodi, CA 95242-4124
Mailing address
10199 River Park Cir
Stockton, CA 95209-4182
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | 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": "1787875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1710895214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10199 RIVER PARK CIR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952094182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2449 W KETTLEMAN LN",
"city": "LODI",
"state": "CA",
"postal_code": "952424124",
"telephone_number": "209-367-7882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "HIEU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "92920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.