Active NPI
Quoc Nguyen
- Pharmacist
- Port Arthur, TX
National Provider Identifier
1750994497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65672
- Practice address
- 3700 Highway 365
Port Arthur, TX 77642-7709 - Phone
- (409) 724-1914
- NPI assigned
- Aug 24, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 65672 | TX | Primary |
Addresses
Primary practice location
3700 Highway 365
Port Arthur, TX 77642-7709
Mailing address
4550 N Major Dr Apt 225
Beaumont, TX 77713-8589
Phone (972) 603-8170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65672 | Other | PHARMACIST LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Beaumont |
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 |
|---|---|---|---|
| 65672 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1750994497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 N MAJOR DR APT 225",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777138589",
"telephone_number": "972-603-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 HIGHWAY 365",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776427709",
"telephone_number": "409-724-1914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "QUOC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "65672",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "65672",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Beaumont",
"affiliation": "N",
"address_1": "3700 Highway 365",
"city": "Port Arthur",
"state": "TX",
"country_code": "US",
"postal_code": "776427709",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.