Khang Nhat Nguyen, PHARMACY TECHNICIAN

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

VA00044495 Issued in WA

Practice address

17171 Bothell Way NE
Lake Forest Park, WA 98155-4204

Phone

(206) 363-6364

NPI assigned

Apr 27, 2021

Last updated

Apr 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1750963898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17171 BOTHELL WAY NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981554204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17171 BOTHELL WAY NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981554204",
            "telephone_number": "206-363-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHANG",
        "middle_name": "NHAT",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WA",
            "license": "VA00044495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Francisca Napitupulu, LMHC
• Thomas Ndamele, PHARM.D.
• Abigail Nelson, LMHCA
• Leslie S Newton, MD
• Amoy A NG, MD
• Kathleen Diane Nielson, LICENSED MASSAGE PRA
• Nina Svino DDS PLLC
• Northwest Kidney Centers (Lake City Kidney Center)
• Dijana Novak
• Rebecca Lynn Olson, ARNP

• Pharmacy Technician in Lake Forest Park, WA
• Providers in Lake Forest Park, WA by specialty
• Pharmacy Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.