Active NPI
My Duyen Thi Nguyen
- Pharmacist
- Indio, CA
National Provider Identifier
1891552238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 89131
- Practice address
- 80925 US Highway 111
Indio, CA 92201-6524 - Phone
- (760) 347-8274
- NPI assigned
- Mar 4, 2024
- Last updated
- Mar 5, 2024
- 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 | 89131 | CA | Primary |
Addresses
Primary practice location
80925 US Highway 111
Indio, CA 92201-6524
Mailing address
2054 Bluff Rd
Chino Hills, CA 91709-1733
Phone (310) 997-5693
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 |
|---|---|---|---|
| 89131 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1891552238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2054 BLUFF RD",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917091733",
"telephone_number": "310-997-5693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80925 US HIGHWAY 111",
"city": "INDIO",
"state": "CA",
"postal_code": "922016524",
"telephone_number": "760-347-8274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MY",
"middle_name": "DUYEN THI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "89131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.