Active NPI
Khanh N Huynh, PHARMD
- Pharmacist
- San Bernardino, CA
National Provider Identifier
1821508029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76645
- Practice address
- 2121 N D St
San Bernardino, CA 92405-3915 - Phone
- (909) 693-3376
- NPI assigned
- Oct 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S022004 | AZ | |
| Pharmacist | 183500000X | 76645 | CA | Primary |
Addresses
Primary practice location
2121 N D St
San Bernardino, CA 92405-3915
Mailing address
11395 Zapata Ave Apt 60
San Diego, CA 92126-4623
Other practice location 1
2920 N 4th St
Flagstaff, AZ 86004-1816
Phone (928) 522-9403
Other names 1
- Ngockhanh N Huynh
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 |
|---|---|---|---|
| S022004 | AZ | MD | Pharmacist |
| 76645 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wecare Pharmaceutical Services Inc | Past | Accepting new patients |
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": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1821508029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11395 ZAPATA AVE APT 60",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 N D ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924053915",
"telephone_number": "909-693-3376"
}
],
"practiceLocations": [
{
"address_1": "2920 N 4th St",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860041816",
"country_code": "US",
"telephone_number": "928-522-9403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUYNH",
"first_name": "KHANH",
"middle_name": "N",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S022004",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NGOCKHANH",
"last_name": "HUYNH",
"middle_name": "N",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.