Active NPI
Kelly Vy Nguyen
- Pharmacist
- Surprise, AZ
National Provider Identifier
1912801911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S028122
- Practice address
- 17049 W Bell Rd
Surprise, AZ 85374-2976 - Phone
- (623) 518-1059
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- 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 | S028122 | AZ | Primary |
Addresses
Primary practice location
17049 W Bell Rd
Surprise, AZ 85374-2976
Mailing address
13213 W Jacobson Dr
Litchfield Park, AZ 85340-5392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1912801911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13213 W JACOBSON DR",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853405392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17049 W BELL RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742976",
"telephone_number": "623-518-1059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KELLY",
"middle_name": "VY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S028122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.