Active NPI
Loc Nguyen
- Pharmacist
- Boise, ID
National Provider Identifier
1831674068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH78603
- Practice address
- 250 E Parkcenter Blvd
Boise, ID 83706-3940 - Phone
- (208) 395-6200
- NPI assigned
- Oct 3, 2018
- Sex
- Male
- 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 | RPH78603 | CA | Primary |
Addresses
Primary practice location
250 E Parkcenter Blvd
Boise, ID 83706-3940
Mailing address
34537 Princeton Dr
Yucaipa, CA 92399-6882
Phone (909) 499-2320
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH78603 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1831674068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34537 PRINCETON DR",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923996882",
"telephone_number": "909-499-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E PARKCENTER BLVD",
"city": "BOISE",
"state": "ID",
"postal_code": "837063940",
"telephone_number": "208-395-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LOC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-03",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH78603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.