Active NPI
Michelle Thuy Chung
- Pharmacist
- Santa Cruz, CA
National Provider Identifier
1730664368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78976
- Practice address
- 117 Morrissey Blvd
Santa Cruz, CA 95062-1540 - Phone
- (831) 426-8911
- NPI assigned
- Sep 29, 2018
- Last updated
- Mar 15, 2019
- 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 | 78976 | CA | Primary |
Addresses
Primary practice location
117 Morrissey Blvd
Santa Cruz, CA 95062-1540
Mailing address
117 Morrissey Blvd
Santa Cruz, CA 95062-1540
Other names 1
- Michelle Thuy Nguyen
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 |
|---|---|---|---|
| 78976 | CA | MD | Pharmacist |
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": "1538179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1730664368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 MORRISSEY BLVD",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950621540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 MORRISSEY BLVD",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950621540",
"telephone_number": "831-426-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "MICHELLE",
"middle_name": "THUY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-29",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "NGUYEN",
"middle_name": "THUY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.