Active NPI
Emma Nguyen
- Pharmacist
- Vancouver, WA
National Provider Identifier
1790364628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61007670
- Practice address
- 430 SE 192ND Ave
Vancouver, WA 98683-9531 - Phone
- (360) 256-6361
- NPI assigned
- Apr 7, 2021
- Sex
- Female
- 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 | PH61007670 | WA | Primary |
Addresses
Primary practice location
430 SE 192ND Ave
Vancouver, WA 98683-9531
Mailing address
9931 NE Prescott St Apt 12
Portland, OR 97220-3575
Phone (503) 333-3628
Other names 1
- Uyen Kim Nguyen
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 |
|---|---|---|---|
| PH61007670 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1790364628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9931 NE PRESCOTT ST APT 12",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972203575",
"telephone_number": "503-333-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 SE 192ND AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839531",
"telephone_number": "360-256-6361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "EMMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61007670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "UYEN",
"last_name": "NGUYEN",
"middle_name": "KIM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.