Nikki Lu Thanh Thao Nguyen

Primary specialty

PharmacistTaxonomy code 183500000X

License

84898 Issued in CA

Practice address

102 N Main St
Santa Ana, CA 92701-5259

Phone

(714) 543-4025

NPI assigned

Aug 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Garfield Beach CVS LLC

  • Pharmacy
  • Santa Ana, CA
  • NPI 1639113905
  NPD (past)
• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1821764606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CASTLETREE",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885506",
            "telephone_number": "949-350-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015259",
            "telephone_number": "714-543-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NIKKI",
        "middle_name": "LU THANH THAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "84898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngoc Nguyen
• Ngoc Kim Nguyen, RN MSN FNP-BC CMSRN
• Ngoc-Thuy Nguyen, PH.D
• Nicholas Nguyen, BEHAVIOR TECHNICAIN
• Nicholas Nguyen
• Oanh Nguyen
• Paul Nguyen, B.A
• Peter Nguyen
• Peter Nguyen, DPT
• Phuong Nam Nguyen

• Pharmacist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.