Active NPI
Yen Xuan Nguyen, PHARMD
- Pharmacist
- Covington, WA
National Provider Identifier
1891103453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH 00055492
- Practice address
- 17432 SE 270TH PL
Covington, WA 98042-4962 - Phone
- (253) 630-8682
- Fax
- (253) 630-8715
- NPI assigned
- Jul 28, 2014
- 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 | PH 00055492 | WA | Primary |
Addresses
Primary practice location
17432 SE 270TH PL
Covington, WA 98042-4962
Mailing address
17432 SE 270TH PL
Covington, WA 98042-4962
Phone (253) 630-8682
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 |
|---|---|---|---|
| PH 00055492 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1891103453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17432 SE 270TH PL",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980424962",
"telephone_number": "253-630-8682",
"fax_number": "253-630-8715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17432 SE 270TH PL",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980424962",
"telephone_number": "253-630-8682",
"fax_number": "253-630-8715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "YEN",
"middle_name": "XUAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH 00055492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.