Active NPI
Kimtrang Nguyen
- Pharmacist
- Houston, TX
National Provider Identifier
1740880103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52136
- Practice address
- 15955 FM 529 Rd
Houston, TX 77095-2513 - Phone
- (281) 855-1305
- NPI assigned
- Oct 27, 2020
- Sex
- Female
- 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 | 52136 | TX | Primary |
Addresses
Primary practice location
15955 FM 529 Rd
Houston, TX 77095-2513
Mailing address
9715 Willowbridge Park Blvd
Houston, TX 77064-7464
Phone (832) 455-1090
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ktn000b.s01040.us@wal-mart.com | Health Information Exchange (HIE) | Wal-Mart Stores Texas LLC |
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 |
|---|---|---|---|
| 52136 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1740880103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9715 WILLOWBRIDGE PARK BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770647464",
"telephone_number": "832-455-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15955 FM 529 RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770952513",
"telephone_number": "281-855-1305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KIMTRANG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "52136",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ktn000b.s01040.us@wal-mart.com",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "Wal-Mart Stores Texas LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "15955 Fm 529 Rd",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770952513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.