Active NPI
Thai Quoc Nguyen, DOCTOR OF PHARMACY
- Health Service Clinic/Center
- Tampa, FL
National Provider Identifier
1750960712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- PS54194
- Practice address
- 4730 N Habana Ave Ste 305
Tampa, FL 33614-7187 - Phone
- (800) 544-9177
- NPI assigned
- Apr 6, 2021
- Last updated
- Apr 6, 2021
- 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 |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | PS54194 | FL | Primary |
Addresses
Primary practice location
4730 N Habana Ave Ste 305
Tampa, FL 33614-7187
Mailing address
8908 Saboda CT
Tampa, FL 33634-1117
Phone (813) 503-0490
Other names 1
- Dr. Thai Quoc Nguyen
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Tampa | Direct |
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 |
|---|---|---|---|
| PS54194 | FL | MD | Health Service Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1750960712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8908 SABODA CT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336341117",
"telephone_number": "813-503-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 N HABANA AVE STE 305",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147187",
"telephone_number": "800-544-9177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THAI",
"middle_name": "QUOC",
"name_prefix": "Dr.",
"credential": "DOCTOR OF PHARMACY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-06",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "FL",
"license": "PS54194",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Tampa",
"affiliation": "N",
"endpointDescription": "Work Laptop with encryption",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4730 N Habana Ave Ste 305",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336147187",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "THAI",
"last_name": "NGUYEN",
"middle_name": "QUOC",
"prefix": "DR.",
"credential": "DOCTOR OF PHARMACY",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.