Active NPI
Thao Nguyen
- Pharmacist
- Litchfield Park, AZ
National Provider Identifier
1912525080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S024659
- Practice address
- 13014 W Camelback Rd
Litchfield Park, AZ 85340-9401 - Phone
- (623) 935-0528
- NPI assigned
- Jul 6, 2020
- 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 | S024659 | AZ | Primary |
Addresses
Primary practice location
13014 W Camelback Rd
Litchfield Park, AZ 85340-9401
Mailing address
8614 W Carole LN
Glendale, AZ 85305-3950
Phone (623) 326-2367
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 |
|---|---|---|---|
| S024659 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1912525080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 W CAROLE LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853053950",
"telephone_number": "623-326-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13014 W CAMELBACK RD",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853409401",
"telephone_number": "623-935-0528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THAO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S024659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Litchfield Park, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.