Khoa Dang Nguyen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

P7869 Issued in ID

Practice address

5108 Cleveland Blvd
Caldwell, ID 83607-8002

Phone

(208) 455-0800

NPI assigned

Nov 3, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• St Lukes Regional Medical Center

  • Pharmacy
  • Meridian, ID
  • NPI 1326040338
  NPD (past)
• St Lukes Regional Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  NPD (past)

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783123200000",
    "number": "1992217582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 CLEVELAND BLVD",
            "address_2": "PHARMACY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836078002",
            "telephone_number": "208-455-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 CLEVELAND BLVD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836078002",
            "telephone_number": "208-455-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 A St",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995034050",
            "country_code": "US",
            "telephone_number": "907-563-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 E Idaho Ave",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OR",
            "postal_code": "979143009",
            "country_code": "US",
            "telephone_number": "541-889-6040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 S Eagle Rd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836426353",
            "country_code": "US",
            "telephone_number": "208-706-5252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3010 Potato Rd",
            "address_purpose": "LOCATION",
            "city": "Winnemucca",
            "state": "NV",
            "postal_code": "894453665",
            "country_code": "US",
            "telephone_number": "775-625-3888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHOA",
        "middle_name": "DANG",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-03",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0010180",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60786953",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "25118",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0016238",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P7869",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "214888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James D Nelson, RPH
• James Nettleton, RN
• Etta Kathryn Nevel, MD
• New Smile Inc.
• Wanda Lee Newton, MED
• Megan Nichols
• Patricia M. Nickols, RMA
• George Arthur Nicola, MD
• Amanda Nielsen
• Joel Nielson, LCPC

• Pharmacist in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.

Verify at the official NPI Registry.