Active NPI
My Tra Nguyen, PHARMD
- Pharmacist
- Sun City Center, FL
National Provider Identifier
1750748828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS62584
- Practice address
- 705 N Pebble Beach Blvd
Sun City Center, FL 33573-5350 - Phone
- (813) 634-8393
- Fax
- (813) 642-9066
- NPI assigned
- Jan 20, 2016
- Last updated
- Jul 21, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051299272 | IL | |
| Pharmacist | 183500000X | PS62584 | FL | Primary |
Addresses
Primary practice location
705 N Pebble Beach Blvd
Sun City Center, FL 33573-5350
Mailing address
705 N Pebble Beach Blvd
Sun City Center, FL 33573-5350
Phone (813) 634-8393
Other practice location 1
1649 W Belmont Ave
Chicago, IL 60657-3017
Phone (773) 281-8439
Other practice location 2
912 W Belmont Ave
Chicago, IL 60657-7679
Phone (773) 665-8990
Other practice location 3
201 E Huron St Ste 1-210
Chicago, IL 60611-3578
Phone (312) 951-1084
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 |
|---|---|---|---|
| PS62584 | FL | MD | Pharmacist |
| 051299272 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1750748828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 N PEBBLE BEACH BLVD",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335735350",
"telephone_number": "813-634-8393",
"fax_number": "813-642-9066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 N PEBBLE BEACH BLVD",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335735350",
"telephone_number": "813-634-8393",
"fax_number": "813-642-9066"
}
],
"practiceLocations": [
{
"address_1": "1649 W Belmont Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606573017",
"country_code": "US",
"telephone_number": "773-281-8439",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "912 W Belmont Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606577679",
"country_code": "US",
"telephone_number": "773-665-8990",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 E Huron St Ste 1-210",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606113578",
"country_code": "US",
"telephone_number": "312-951-1084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "MY",
"middle_name": "TRA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-20",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051299272",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS62584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun City Center, FL
- Musculoskeletal Institute Chartered (Florida Orthopaedic Institute)
- Zubeda H Nagamia, MD
- Shemushi Nasreen, MD
- Chau Quy Diem Nguyen
- Julie Nguyen
- Son Quoc Nguyen, PHARMACIST
- Leslie Janet Nield Anderson, ARNP; PHD
- North Tampa TMS LLC
- Northland Hearing Center Inc
- Northland Hearing Center, Inc. (Audibel Hearing Aid Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.