Active NPI
Lan Thanh Nguyen
- Pharmacist
- Fullerton, CA
National Provider Identifier
1780934877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48941
- Practice address
- 900 S Harbor Blvd
Fullerton, CA 92832-3025 - Phone
- (714) 738-7532
- Fax
- (714) 738-7538
- NPI assigned
- Sep 15, 2012
- 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 | 48941 | CA | Primary |
Addresses
Primary practice location
900 S Harbor Blvd
Fullerton, CA 92832-3025
Mailing address
900 S Harbor Blvd
Fullerton, CA 92832-3025
Phone (714) 738-7532
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 |
|---|---|---|---|
| 48941 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347667200000",
"number": "1780934877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S HARBOR BLVD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928323025",
"telephone_number": "714-738-7532",
"fax_number": "714-738-7538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S HARBOR BLVD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928323025",
"telephone_number": "714-738-7532",
"fax_number": "714-738-7538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LAN",
"middle_name": "THANH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-15",
"last_updated": "2012-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "48941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.