Active NPI
An Nguyen
- Pharmacist
- Corona, CA
National Provider Identifier
1891069159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66764
- Practice address
- 2368 Sageleaf Cir
Corona, CA 92882-2312 - Phone
- (714) 679-8898
- NPI assigned
- Mar 5, 2012
- Sex
- Male
- 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 | 66764 | CA | Primary |
Addresses
Primary practice location
2368 Sageleaf Cir
Corona, CA 92882-2312
Mailing address
2368 Sageleaf Cir
Corona, CA 92882-2312
Phone (714) 679-8898
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330905600000",
"number": "1891069159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2368 SAGELEAF CIR",
"city": "CORONA",
"state": "CA",
"postal_code": "928822312",
"telephone_number": "714-679-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2368 SAGELEAF CIR",
"city": "CORONA",
"state": "CA",
"postal_code": "928822312",
"telephone_number": "714-679-8898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "AN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-05",
"last_updated": "2012-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "66764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.