Individual provider Active NPI

Thai Quoc Nguyen, DOCTOR OF PHARMACY

  • Health Service Clinic/Center
  • Tampa, FL
National Provider Identifier
1750960712
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
PS54194 Issued in FL
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
PS54194FLMDHealth 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.

Verify at the official NPI Registry.