Active NPI
Anh Derek Nguyen, PHARM, D.
- Pharmacist
- Buena Park, CA
National Provider Identifier
1992073613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54065
- Practice address
- 7878 Crescent Ave
Buena Park, CA 90620-3950 - Phone
- (714) 226-0238
- Fax
- (714) 226-0921
- NPI assigned
- Dec 8, 2011
- 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 | 54065 | CA | Primary |
Addresses
Primary practice location
7878 Crescent Ave
Buena Park, CA 90620-3950
Mailing address
7878 Crescent Ave
Buena Park, CA 90620-3950
Phone (714) 226-0238
Other names 1
- Dr. Derek Le Nguyen
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 |
|---|---|---|---|
| 54065 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1992073613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7878 CRESCENT AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906203950",
"telephone_number": "714-226-0238",
"fax_number": "714-226-0921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7878 CRESCENT AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906203950",
"telephone_number": "714-226-0238",
"fax_number": "714-226-0921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANH",
"middle_name": "DEREK",
"name_prefix": "Dr.",
"credential": "PHARM, D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-08",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "54065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEREK",
"last_name": "NGUYEN",
"middle_name": "LE",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.