Active NPI
Lisa Ngoc Nguyen, PHARM.D.
- Pharmacist
- Garden Grove, CA
National Provider Identifier
1821362203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51035
- Practice address
- 14441 Brookhurst St Ste 4
Garden Grove, CA 92843-4646 - Phone
- (714) 775-1789
- Fax
- (714) 775-0470
- NPI assigned
- Mar 1, 2012
- 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 | 51035 | CA | Primary |
Addresses
Primary practice location
14441 Brookhurst St Ste 4
Garden Grove, CA 92843-4646
Mailing address
14441 Brookhurst St Ste 4
Garden Grove, CA 92843-4646
Phone (714) 775-1789
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51035 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van RX Inc | Current | Accepting new patients |
Locations
14441 Brookhurst St
Ste 4
Garden Grove, CA 92843
Phone (714) 775-1789
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1821362203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14441 BROOKHURST ST STE 4",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434646",
"telephone_number": "714-775-1789",
"fax_number": "714-775-0470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14441 BROOKHURST ST STE 4",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434646",
"telephone_number": "714-775-1789",
"fax_number": "714-775-0470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LISA",
"middle_name": "NGOC",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-01",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "51035",
"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 Mar 1, 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.