Active NPI
Vinh Khoa Phuc Nguyen, PHARM.D.
- Pharmacotherapy Pharmacist
- San Jose, CA
National Provider Identifier
1912216110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 62781
- Practice address
- 1451 Prelude Dr
San Jose, CA 95131-3317 - Phone
- (408) 234-1165
- NPI assigned
- Oct 5, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 62781 | CA | Primary |
Addresses
Primary practice location
1451 Prelude Dr
San Jose, CA 95131-3317
Mailing address
1451 Prelude Dr
San Jose, CA 95131-3317
Phone (408) 234-1165
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 |
|---|---|---|---|
| 62781 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1912216110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 PRELUDE DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951313317",
"telephone_number": "408-234-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 PRELUDE DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951313317",
"telephone_number": "408-234-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "VINH KHOA",
"middle_name": "PHUC",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-05",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "62781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.