Active NPI
Khang Nguyen Nguyen, PHARM. D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Maricopa, AZ
National Provider Identifier
1740580034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- S013435
- Practice address
- 20797 N John Wayne Pkwy
Maricopa, AZ 85139-5575 - Phone
- (520) 568-6233
- Fax
- (520) 568-6227
- NPI assigned
- Nov 2, 2010
- Last updated
- Aug 19, 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | S013435 | AZ | Primary |
Addresses
Primary practice location
20797 N John Wayne Pkwy
Maricopa, AZ 85139-5575
Mailing address
20797 N John Wayne Pkwy
Maricopa, AZ 85139-5575
Phone (520) 568-6233
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S013435 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiths Food & Drug Centers Inc | Past | Accepting new patients | |
| Smith's Food & Drug Centers Inc | Past | Accepting new patients | |
| Smiths Food & Drug Centers Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Frys Food and Drug
- Community/Retail Pharmacy
- Goodyear, AZ
- NPI 1386686814
-
dba Frys Food and Drug
- Community/Retail Pharmacy
- Maricopa, AZ
- NPI 1942242581
-
dba Smith's Pharmacy #303
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1881585248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1740580034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20797 N JOHN WAYNE PKWY",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851395575",
"telephone_number": "520-568-6233",
"fax_number": "520-568-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20797 N JOHN WAYNE PKWY",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851395575",
"telephone_number": "520-568-6233",
"fax_number": "520-568-6227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KHANG",
"middle_name": "NGUYEN",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-02",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AZ",
"license": "S013435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maricopa, AZ
- New Dawn Outpatient LLC (New Dawn Behavioral Health)
- New Haven Treatment Centers of America
- New Horizon Home Healthcare Agency
- New Horizon Therapeutic Care, LLC
- New Revive House, LLC
- Tin Huu Nguyen, D.D.S.
- Nhouse Inc (Nhousecare.Com)
- Jeffrey A Nicholson Jr., PT, DPT
- Linda Nishikawa
- NJS Home Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.