Active NPI
Theresa Nguyen, PHARM.D.
- Ambulatory Care Pharmacist
- San Jose, CA
National Provider Identifier
1861565970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 57674
- Practice address
- 260 International Cir
San Jose, CA 95119-1130 - Phone
- (408) 972-6474
- NPI assigned
- Nov 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 57674 | CA | |
| Ambulatory Care Pharmacist | 1835P2201X | 57674 | CA | Primary |
Addresses
Primary practice location
260 International Cir
San Jose, CA 95119-1130
Mailing address
260 International Cir
San Jose, CA 95119-1130
Phone (408) 972-6474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH 57674 | Other | CA | BOARD OF PHARMACY LICENSE |
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 |
|---|---|---|---|
| 57674 | CA | MD | General Practice Dentistry |
| RPH 57674 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1861565970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 INTERNATIONAL CIR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191130",
"telephone_number": "408-972-6474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 INTERNATIONAL CIR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191130",
"telephone_number": "408-972-6474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THERESA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 57674",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CA",
"license": "57674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY LICENSE",
"identifier": "RPH 57674",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.