Active NPI
Kevin Nguyen
- Pharmacist
- Amarillo, TX
National Provider Identifier
1992470868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68879
- Practice address
- 2711 SW 58TH Ave
Amarillo, TX 79118-1329 - Phone
- (806) 513-6505
- NPI assigned
- Aug 12, 2021
- 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 | 68879 | TX | Primary |
Addresses
Primary practice location
2711 SW 58TH Ave
Amarillo, TX 79118-1329
Mailing address
9180 Town Square Blvd Apt 1320
Amarillo, TX 79119-1371
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Connexus | Wal-Mart Stores Texas LLC |
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 |
|---|---|---|---|
| 68879 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores Texas LLC | Past | Accepting new patients | |
| Wal-Mart Stores Texas, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Amarillo, TX
- NPI 1164800330
-
- Community/Retail Pharmacy
- Melissa, TX
- NPI 1386521797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1992470868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9180 TOWN SQUARE BLVD APT 1320",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791191371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 SW 58TH AVE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791181329",
"telephone_number": "806-513-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-12",
"last_updated": "2021-08-12",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "68879",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Connexus",
"affiliation": "Y",
"endpointDescription": "Pharmacy software",
"affiliationName": "Wal-Mart Stores Texas LLC",
"address_1": "2711 SW 58th Ave",
"city": "Amarillo",
"state": "TX",
"country_code": "US",
"postal_code": "791181329",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.