Active NPI
Aivy Ai Nguyen, PHARMD
- Pharmacist
- Show Low, AZ
National Provider Identifier
1922615947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S024722
- Practice address
- 60 E Deuce of Clubs
Show Low, AZ 85901-4814 - Phone
- (928) 532-3200
- NPI assigned
- Sep 24, 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 | S024722 | AZ | Primary |
Addresses
Primary practice location
60 E Deuce of Clubs
Show Low, AZ 85901-4814
Mailing address
3643 E Yeager CT
Gilbert, AZ 85295-1611
Phone (714) 592-9046
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 |
|---|---|---|---|
| S024722 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1922615947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3643 E YEAGER CT",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951611",
"telephone_number": "714-592-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 E DEUCE OF CLUBS",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859014814",
"telephone_number": "928-532-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "AIVY",
"middle_name": "AI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S024722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.