Individual provider Active NPI

Mai Nhu Nguyen

  • Pharmacist
  • Sunnyvale, CA
National Provider Identifier
1811282965
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
57759 Issued in CA
Practice address
298 W MC Kinley Ave
T2584
Sunnyvale, CA 94086-6193
Phone
(408) 702-1013
Fax
(408) 702-1021
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 57759 CA Primary

Addresses

Primary practice location

298 W MC Kinley Ave
T2584
Sunnyvale, CA 94086-6193

Mailing address

298 W MC Kinley Ave
T2584
Sunnyvale, CA 94086-6193
Phone (408) 702-1013

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

LicenseStateTypeSpecialty
57759CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1811282965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 W MC KINLEY AVE",
            "address_2": "T2584",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866193",
            "telephone_number": "408-702-1013",
            "fax_number": "408-702-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 W MC KINLEY AVE",
            "address_2": "T2584",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866193",
            "telephone_number": "408-702-1013",
            "fax_number": "408-702-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MAI",
        "middle_name": "NHU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "57759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.