Active NPI
Mimi Nguyen
- Pharmacist
- Auburn, WA
National Provider Identifier
1871997817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00039647
- Practice address
- 1406 Lake Tapps Pkwy E
Auburn, WA 98092-8154 - Phone
- (253) 876-1761
- NPI assigned
- Oct 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | PH00039647 | WA | Primary |
Addresses
Primary practice location
1406 Lake Tapps Pkwy E
Auburn, WA 98092-8154
Mailing address
1406 Lake Tapps Parkway E
Lake Tapps, WA 98092
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 |
|---|---|---|---|
| PH00039647 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413763200000",
"number": "1871997817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 LAKE TAPPS PARKWAY E",
"city": "LAKE TAPPS",
"state": "WA",
"postal_code": "98092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 LAKE TAPPS PKWY E",
"city": "AUBURN",
"state": "WA",
"postal_code": "980928154",
"telephone_number": "253-876-1761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MIMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-20",
"last_updated": "2014-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00039647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.