Active NPI
Shawn Nguyen, PHARMD
- Pharmacist
- Fountain Valley, CA
National Provider Identifier
1770851206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54665
- Practice address
- 16201 Harbor Blvd
Fountain Valley, CA 92708-1371 - Phone
- (714) 839-3496
- NPI assigned
- Dec 12, 2011
- Last updated
- Dec 12, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 54665 | CA | Primary |
Addresses
Primary practice location
16201 Harbor Blvd
Fountain Valley, CA 92708-1371
Mailing address
8561 Boone Cir
Westminster, CA 92683-7232
Phone (714) 890-2687
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1770851206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8561 BOONE CIR",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926837232",
"telephone_number": "714-890-2687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16201 HARBOR BLVD",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081371",
"telephone_number": "714-839-3496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "SHAWN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "54665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.