Active NPI
John T Nguyen
- Pharmacist
- Overland Park, KS
National Provider Identifier
1962819094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 115008
- Practice address
- 10303 Metcalf Ave
Overland Park, KS 66212-1805 - Phone
- (913) 642-3759
- NPI assigned
- Jul 21, 2014
- Sex
- Male
- 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 | 115008 | KS | Primary |
Addresses
Primary practice location
10303 Metcalf Ave
Overland Park, KS 66212-1805
Mailing address
10303 Metcalf Ave
Overland Park, KS 66212-1805
Phone (913) 642-3759
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 |
|---|---|---|---|
| 115008 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1962819094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10303 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662121805",
"telephone_number": "913-642-3759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10303 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662121805",
"telephone_number": "913-642-3759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JOHN",
"middle_name": "T",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-21",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "115008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.