THAO PHUONG NGUYEN (NPI# 1174781991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174781991 |
| Entity Type | Individual |
| Full Name | THAO PHUONG NGUYEN |
| Credential | PHARM D |
| Practice Address |
16491 Lakeshore Dr Lake Elsinore CA 92530 |
| Mailing Address |
4544 Meredith St Riverside CA 92505-1537 |
| Practice Telephone | 9516740309 |
| Practice Fax Number | 9516740419 |
| Mailing Telephone | 7148732438 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 60190 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHARMACIST | 183500000X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629629811 | Thao Nguyen | Pharmacist | 2260 Hunters Woods Plz, Reston, VA 20191-2898 | 2019-09-27 |
| 1932666955 | Thao Nguyen | Nurse Practitioner | 16040 Harbor Blvd Ste G, Fountain Valley, CA 92708-1327 | 2019-02-26 |
| 1033665864 | Thao Nguyen | Nurse Practitioner | 372 S Oysterbay Rd., Unit 2, Hicksville, NY 11801 | 2016-08-31 |
| 1730555756 | Thao Xuan Thi Nguyen | Pharmacist | 1005 Marvin Ct, Harvey, LA 70058-4913 | 2015-08-13 |
| 1154730299 | Thao Nguyen | Pharmacist | 1632 Orvietto Dr, Roseville, CA 95661-3981 | 2014-08-02 |
| 1851706519 | Thao Nguyen | Pharmacist | 11114 Milano Ave, Norwalk, CA 90650-1642 | 2014-06-20 |
| 1538579446 | Thao Nguyen | Nurse Practitioner | 14362 Bushard St Spc 35, Westminster, CA 92683-5156 | 2014-04-30 |
| 1972881738 | Thao Minh Nguyen | Dentist | 2782 Baton Rouge Dr, San Jose, CA 95133-2004 | 2011-07-28 |
| 1316239536 | Thao P Nguyen | Pharmacist | 11516 Providence Rd, Charlotte, NC 28277-2691 | 2011-05-05 |
| 1871805747 | Thao Thien Thanh Nguyen | Pharmacist | 5661 Bullard Ave, New Orleans, LA 70128-3447 | 2010-07-08 |
| Street Address |
16491 LAKESHORE DR |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992019046 | Dipti Sheetal Patel | Pharmacist | 16491 Lakeshore Dr, Lake Elsinore, CA 92530-6723 | 2010-07-30 |
| 1811155575 | Gloria Aidoo | Pharmacist | 16491 Lakeshore Dr, Lake Elsinore, CA 92530 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1700423779 | Karrene Louise Stanard | Peer Specialist | 31764 Casino Drive, Suite 300, Lake Elsinore, CA 92530 | 2019-12-09 |
| 1972149961 | Danielle Cravalho | Student in an Organized Health Care Education/Training Program | 31964 Mission Trail, Suite B, Lake Elsinore, CA 92530 | 2019-11-25 |
| 1952825648 | R.e. Levi Dental Corporation | Dentist | 32235 Mission Trail # 8, Lake Elsinore, CA 92530 | 2017-08-03 |
| 1144760729 | Alfred Metwashla | Pharmacist | 18269 Collier Ave, Lake Elsinore, CA 92530 | 2017-03-02 |
| 1750788733 | Roxanne Martinez | Case Manager/Care Coordinator | 31764 Casino Drive, Lake Elsinore, CA 92530 | 2014-11-19 |
| 1871870907 | Bryan Tuan Tran | Pharmacist | 160 Diamond Drive, Lake Elsinore, CA 92530 | 2011-11-03 |
| 1043590821 | Katherynn Elizabeth Williams | Marriage & Family Therapist | 600 Central Ave Ste 201, Lake Elsinore, CA 92530 | 2011-08-24 |
| 1861771677 | Judy Kelly | Marriage & Family Therapist | 224 West Graham Ave, Lake Elsinore, CA 92530 | 2011-08-10 |
| 1427343813 | Patrick Chern | Pharmacist | 18287 Collier Ave., Lake Elsinore, CA 92530 | 2011-06-14 |
| Find all providers in zip 92530 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306359534 | Gholam H Rouzitalab | Pharmacist | 16800 Lakeshore Dr # 3, Lake Elsinore, CA 92530-4909 | 2017-11-09 |
| 1144760729 | Alfred Metwashla | Pharmacist | 18269 Collier Ave, Lake Elsinore, CA 92530 | 2017-03-02 |
| 1831561257 | Steve Mccain | Pharmacist | 29985 Canyon Hills Rd, Lake Elsinore, CA 92532-2576 | 2015-10-25 |
| 1245649805 | Steven M Anthony | Pharmacist | 15154 Westlynn Dr, Lake Elsinore, CA 92530-5580 | 2014-08-07 |
| 1871870907 | Bryan Tuan Tran | Pharmacist | 160 Diamond Drive, Lake Elsinore, CA 92530 | 2011-11-03 |
| 1336425933 | Margie Lyn Logsdon | Pharmacist | 31564 Grape St, Lake Elsinore, CA 92532-9700 | 2011-10-26 |
| 1427343813 | Patrick Chern | Pharmacist | 18287 Collier Ave., Lake Elsinore, CA 92530 | 2011-06-14 |
| 1912238387 | Anh-hoa Phung | Pharmacist | 45006 Thalia Ln, Lake Elsinore, CA 92532-1521 | 2010-01-24 |
| 1992930812 | Noemie Galang Dyer | Pharmacist | 32261 Mission Trl, Lake Elsinore, CA 92530-4577 | 2009-05-20 |
| 1730221938 | Rita Avakian | Pharmacist | 31762 Mission Trail Road, Suite G, Lake Elsinore, CA 92530 | 2007-02-13 |
| Find all providers in LAKE ELSINORE | ||||
| City | LAKE ELSINORE |
| Zip Code | 92530 |
Please comment or provide details below to improve the information on THAO PHUONG NGUYEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.