Active NPI
Trang Nguyen
- Pharmacist
- Riverhead, NY
National Provider Identifier
1801270640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 061034
- Practice address
- 1150 Old Country Rd
Riverhead, NY 11901-2073 - Phone
- (631) 208-9354
- NPI assigned
- Jul 10, 2015
- 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 | 061034 | NY | Primary |
Addresses
Primary practice location
1150 Old Country Rd
Riverhead, NY 11901-2073
Mailing address
1150 Old Country Rd
Riverhead, NY 11901-2073
Phone (631) 208-9354
Other practice location 1
100 Willow Park Ctr
Farmingdale, NY 11735-1001
Phone (631) 962-0271
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 |
|---|---|---|---|
| 061034 | NY | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606435200000",
"number": "1801270640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 OLD COUNTRY RD",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012073",
"telephone_number": "631-208-9354",
"fax_number": "631-740-3243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 OLD COUNTRY RD",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012073",
"telephone_number": "631-208-9354"
}
],
"practiceLocations": [
{
"address_1": "100 Willow Park Ctr",
"address_purpose": "LOCATION",
"city": "Farmingdale",
"state": "NY",
"postal_code": "117351001",
"country_code": "US",
"telephone_number": "631-962-0271",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRANG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-10",
"last_updated": "2020-11-27",
"certification_date": "2020-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.