Active NPI
Tiffany Tram Nguyen
- Pharmacist
- Seal Beach, CA
National Provider Identifier
1740795939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH77962
- Practice address
- 12541 Seal Beach Blvd
Seal Beach, CA 90740-2712 - Phone
- (562) 430-3323
- NPI assigned
- Dec 10, 2017
- Last updated
- Dec 10, 2017
- 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 | RPH77962 | CA | Primary |
Addresses
Primary practice location
12541 Seal Beach Blvd
Seal Beach, CA 90740-2712
Mailing address
403 Amy CMN
Santa Ana, CA 92703-3480
Phone (714) 640-9856
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 |
|---|---|---|---|
| RPH77962 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless 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.
-
dba Rite Aid Pharmacy 05515
- Community/Retail Pharmacy
- Seal Beach, CA
- NPI 1396755328
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512864000000",
"number": "1740795939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 AMY CMN",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927033480",
"telephone_number": "714-640-9856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12541 SEAL BEACH BLVD",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907402712",
"telephone_number": "562-430-3323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TIFFANY",
"middle_name": "TRAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-10",
"last_updated": "2017-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH77962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seal Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.