Active NPI
Paul Nguyen
- Pharmacist
- Orange City, FL
National Provider Identifier
1790387496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS52079
- Practice address
- 2400 Veterans Memorial Pkwy
Orange City, FL 32763-1700 - Phone
- (386) 775-4844
- NPI assigned
- Nov 9, 2020
- Last updated
- Nov 9, 2020
- 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 | PS52079 | FL | Primary |
Addresses
Primary practice location
2400 Veterans Memorial Pkwy
Orange City, FL 32763-1700
Mailing address
2400 Veterans Memorial Pkwy
Orange City, FL 32763-1700
Phone (386) 775-4844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS52079 | Other | FL | FLORIDA BOARD OF PHARMACY |
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 |
|---|---|---|---|
| PS52079 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1790387496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 VETERANS MEMORIAL PKWY",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327631700",
"telephone_number": "386-775-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 VETERANS MEMORIAL PKWY",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327631700",
"telephone_number": "386-775-4844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS52079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BOARD OF PHARMACY",
"identifier": "PS52079",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.