Active NPI
Erin Kim Nguyen
- Pharmacist
- Flagstaff, AZ
National Provider Identifier
1871160655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S025254
- Practice address
- 4910 N US Highway 89
Flagstaff, AZ 86004-2846 - Phone
- (928) 526-6116
- NPI assigned
- Jun 9, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S025254 | AZ | Primary |
Addresses
Primary practice location
4910 N US Highway 89
Flagstaff, AZ 86004-2846
Mailing address
4910 N US Highway 89
Flagstaff, AZ 86004-2846
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 |
|---|---|---|---|
| S025254 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1871160655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 N US HIGHWAY 89",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860042846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 N US HIGHWAY 89",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860042846",
"telephone_number": "928-526-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ERIN",
"middle_name": "KIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-09",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S025254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.