Active NPI
Madeline Quyen Nguyen, PHARM.D.
- Pharmacist
- Orlando, FL
National Provider Identifier
1871978478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS54475
- Practice address
- 5504 Elizabeth Rose SQ
Orlando, FL 32810-6601 - Phone
- (757) 362-8508
- NPI assigned
- Jul 23, 2015
- 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 | 0202214234 | VA | |
| Pharmacist | 183500000X | PS54475 | FL | Primary |
Addresses
Primary practice location
5504 Elizabeth Rose SQ
Orlando, FL 32810-6601
Mailing address
5504 Elizabeth Rose SQ
Orlando, FL 32810-6601
Phone (757) 362-8508
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202214234 | Other | VA | LICENSE |
| PS54475 | Other | FL | REGISTERED PHARMACIST |
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 |
|---|---|---|---|
| PS54475 | FL | MD | Pharmacist |
| 0202214234 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Williamsburg, VA
- NPI 1245339480
-
- Community/Retail Pharmacy
- Virginia Beach, VA
- NPI 1982703120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585440000000",
"number": "1871978478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5504 ELIZABETH ROSE SQ",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328106601",
"telephone_number": "757-362-8508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5504 ELIZABETH ROSE SQ",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328106601",
"telephone_number": "757-362-8508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MADELINE",
"middle_name": "QUYEN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-23",
"last_updated": "2020-03-29",
"certification_date": "2020-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202214234",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS54475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0202214234",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PHARMACIST",
"identifier": "PS54475",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.