Active NPI
Ha T Nguyen
- Pharmacist
- Sonora, CA
National Provider Identifier
1790385961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH83564
- Practice address
- 13975 Mono Way Ste H
Sonora, CA 95370-2824 - Phone
- (209) 677-5424
- Fax
- (888) 498-0976
- NPI assigned
- Oct 27, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH0018136 | OR | |
| Pharmacist | 183500000X | RPH83564 | CA | Primary |
Addresses
Primary practice location
13975 Mono Way Ste H
Sonora, CA 95370-2824
Mailing address
218 N Main St
Sebastopol, CA 95472-3436
Phone (707) 829-3007
Other practice location 1
725 S Fortuna Blvd
Fortuna, CA 95540-3034
Phone (707) 725-9314
Other practice location 2
218 N Main St
Sebastopol, CA 95472-3436
Phone (707) 829-3007
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 |
|---|---|---|---|
| RPH83564 | CA | MD | Pharmacist |
| RPH0018136 | OR | 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.
-
dba Rite Aid Pharmacy 06031
- Community/Retail Pharmacy
- Sebastopol, CA
- NPI 1174545297
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1790385961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 N MAIN ST",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954723436",
"telephone_number": "707-829-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13975 MONO WAY STE H",
"city": "SONORA",
"state": "CA",
"postal_code": "953702824",
"telephone_number": "209-677-5424",
"fax_number": "888-498-0976"
}
],
"practiceLocations": [
{
"address_1": "725 S Fortuna Blvd",
"address_purpose": "LOCATION",
"city": "Fortuna",
"state": "CA",
"postal_code": "955403034",
"country_code": "US",
"telephone_number": "707-725-9314",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "218 N Main St",
"address_purpose": "LOCATION",
"city": "Sebastopol",
"state": "CA",
"postal_code": "954723436",
"country_code": "US",
"telephone_number": "707-829-3007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "HA",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH0018136",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH83564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.