Michelle Phuong Nguyen

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

67950 Issued in TX

Practice address

12605 Interstate 45 N
Willis, TX 77318-5807

Phone

(936) 890-5060

NPI assigned

Jan 13, 2021

Last updated

Feb 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Walgreens #03796

  • Pharmacy
  • Beaumont, TX
  • NPI 1407861503
  NPD (past)
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1861081853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WEDGEWOOD DR W",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773568369",
            "telephone_number": "281-774-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 INTERSTATE 45 N",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773185807",
            "telephone_number": "936-890-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6795 Calder Ave",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777066007",
            "country_code": "US",
            "telephone_number": "409-860-3909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MICHELLE",
        "middle_name": "PHUONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "67950",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "67950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Beth Molina, M.D.
• Montgomery Primary Care
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Network Provider Associates, P.C.
• Calvin Wah Ngo, DMD
• Nicole Turner Counseling, PLLC
• Catherine Anne Nixon, MSN, APRN, FNP-BC
• North Willis Family Dental PLLC
• Cecilia Nowakowski
• NSF Medical Transportation

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Willis, TX
• Providers in Willis, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.