Active NPI
Van B Nguyen, PHARMACIST
- Pharmacist
- Fountain Valley, CA
National Provider Identifier
1780809178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH44056
- Practice address
- 17904 Magnolia St
Fountain Valley, CA 92708-5412 - Phone
- (714) 962-9713
- Fax
- (714) 964-0419
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- 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 | RPH44056 | CA | Primary |
Addresses
Primary practice location
17904 Magnolia St
Fountain Valley, CA 92708-5412
Mailing address
2602 W Hall Ave
Santa Ana, CA 92704-5412
Phone (714) 962-9713
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 |
|---|---|---|---|
| RPH44056 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- Fountain Valley, CA
- NPI 1629090451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780809178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 W HALL AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045412",
"telephone_number": "714-962-9713",
"fax_number": "714-964-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17904 MAGNOLIA ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085412",
"telephone_number": "714-962-9713",
"fax_number": "714-964-0419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "VAN",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH44056",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.