Individual provider Active NPI

Gwendolyn Quynh Ngoc Nguyen, PHARM.D.

  • Pharmacist
  • Livermore, CA
National Provider Identifier
1942653506
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
57943 Issued in CA
Practice address
300 Pullman St
Livermore, CA 94551-9756
Phone
(925) 453-3959
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 57943 CA Primary

Addresses

Primary practice location

300 Pullman St
Livermore, CA 94551-9756

Mailing address

300 Pullman St
Livermore, CA 94551-9756
Phone (925) 453-3959

Other practice location 1

300 Pullman St
Livermore, CA 94551-9756
Phone (925) 453-3959

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

LicenseStateTypeSpecialty
57943CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1942653506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PULLMAN ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945519756",
            "telephone_number": "925-453-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PULLMAN ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945519756",
            "telephone_number": "925-453-3959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Pullman St",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945519756",
            "country_code": "US",
            "telephone_number": "925-453-3959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "GWENDOLYN",
        "middle_name": "QUYNH NGOC",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "57943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.