Active NPI
Kevin Nguyen
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1972219368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23314
- Practice address
- 1945 Las Vegas Blvd S
Las Vegas, NV 89104-1310 - Phone
- (702) 650-1143
- NPI assigned
- Jan 30, 2023
- Sex
- Male
- 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 | 23314 | NV | Primary |
Addresses
Primary practice location
1945 Las Vegas Blvd S
Las Vegas, NV 89104-1310
Mailing address
3352 Via Tizzoni St
Henderson, NV 89044-1956
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 |
|---|---|---|---|
| 23314 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1972219368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3352 VIA TIZZONI ST",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890441956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 LAS VEGAS BLVD S",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891041310",
"telephone_number": "702-650-1143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-30",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "23314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.