Active NPI
Tanner Quan-Duc Nguyen, PHARM D
- Pharmacist
- Garden Grove, CA
National Provider Identifier
1821360975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57824
- Practice address
- 13892 Dawson St
Garden Grove, CA 92843 - Phone
- (714) 867-4728
- NPI assigned
- Feb 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 57824 | CA | Primary |
Addresses
Primary practice location
13892 Dawson St
Garden Grove, CA 92843
Mailing address
13892 Dawson St
Garden Grove, CA 92843-3146
Phone (714) 867-4728
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
- Credentials
- Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1821360975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13892 DAWSON ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928433146",
"telephone_number": "714-867-4728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13892 DAWSON ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "92843",
"telephone_number": "714-867-4728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TANNER",
"middle_name": "QUAN-DUC",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-06",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "57824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.