Individual provider Active NPI

Mai-Hong Thy Nguyen, PHARM.D.

  • Pharmacist
  • Portland, OR
National Provider Identifier
1962748889
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0013258 Issued in OR
Practice address
3800 SE 22ND Ave
Mailstop 04002/34K
Portland, OR 97202-2918
Phone
(503) 797-7144
Fax
(187) 737-6948
NPI assigned
Dec 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH-0013258 OR
Pharmacist 183500000X 0013258 OR Primary

Addresses

Primary practice location

3800 SE 22ND Ave
Mailstop 04002/34K
Portland, OR 97202-2918

Mailing address

3800 SE 22ND Ave
Mailstop 04002/34K
Portland, OR 97202-2918
Phone (503) 797-7144

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
0013258ORMDPharmacist
RPH-0013258ORMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1962748889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SE 22ND AVE",
            "address_2": "MAILSTOP 04002/34K",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022918",
            "telephone_number": "503-797-7144",
            "fax_number": "187-737-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SE 22ND AVE",
            "address_2": "MAILSTOP 04002/34K",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022918",
            "telephone_number": "503-797-7144",
            "fax_number": "187-737-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MAI-HONG",
        "middle_name": "THY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-0013258",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0013258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.