Active NPI
Thuan Bao Nguyen, PHARM D.
- Pharmacist
- Anaheim, CA
National Provider Identifier
1750103719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33194
- Practice address
- 1801 W Romneya Dr Ste 108
Anaheim, CA 92801-1824 - Phone
- (714) 833-5723
- NPI assigned
- Oct 30, 2024
- 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 | 33194 | CA | Primary |
Addresses
Primary practice location
1801 W Romneya Dr Ste 108
Anaheim, CA 92801-1824
Mailing address
9097 Crocus Ave
Fountain Valley, CA 92708-1432
Phone (714) 737-8411
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1750103719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9097 CROCUS AVE",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081432",
"telephone_number": "714-737-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W ROMNEYA DR STE 108",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011824",
"telephone_number": "714-833-5723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THUAN",
"middle_name": "BAO",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "33194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.