DAVID TRIEU NGUYEN (NPI# 1679933535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679933535 |
| Entity Type | Organization |
| Organization Name | DAVID TRIEU NGUYEN |
| Other Organization Name | EL PORTAL PHARMACY |
| Practice Address |
2407 Jensen Ave Ste 101 Sanger CA 93657-2248 |
| Mailing Address |
2407 Jensen Ave Suite 101 Sanger CA 93657-2248 |
| Practice Telephone | 5593998644 |
| Practice Fax Number | 5593998643 |
| Mailing Telephone | 5593998644 |
| Mailing Fax Number | 5593998643 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | BA HUYNH (MANAGER) |
| Authorized Official Telephone | 5599404186 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY54339 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2158574 | 01 |
| Other Name | Type Code |
|---|---|
| EL PORTAL PHARMACY | Doing Business As Name - Organization |
| Street Address |
2407 JENSEN AVE STE 101 |
| City | SANGER |
| State | CA |
| Zip Code | 93657-2248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255713814 | Drug Pharm Inc | Pharmacy | 2407 Jensen Ave Ste 101, Sanger, CA 93657-2248 | 2015-06-19 |
| 1548723844 | Ngoc Thi Nguyen | Pharmacist | 2407 Jensen Ave Ste 101, Sanger, CA 93657-2497 | 2019-04-12 |
| 1124563721 | El Portal Pharmacy | Pharmacy | 2407 Jensen Ave Ste 101, Sanger, CA 93657-2497 | 2017-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568871853 | Bernardo Bretado | Counselor | 2017 Mary Street, Sanger, CA 93657 | 2014-08-12 |
| 1902238033 | Robin Christine Ploharz | Counselor | 1822 Jensen Ave #102-104, Sanger, CA 93657 | 2013-07-31 |
| 1629419833 | Elim Place, Inc. | Assisted Living Facility | 1808 5th Street, Sanger, CA 93657 | 2013-07-16 |
| 1568716793 | Paul Sylvan Cheney | Dentist | 620 S. Fairbanks Ave., Sanger, CA 93657 | 2012-11-09 |
| 1336409820 | Jocelyn Ann Mizunaka | Family Medicine | 1570 7th Street, Sanger, CA 93657 | 2012-05-18 |
| 1912216581 | Sampath Wijesinghe | Physician Assistant | 1393 Academy Ave, Sanger, CA 93657 | 2010-09-30 |
| 1528144185 | Daniel Richard Souza | Physical Therapist | 2570 Jensen A Ve #108, Sanger, CA 93657 | 2006-10-27 |
| 1023102654 | Herbert Lance Crooks | Dentist | 2434 Jensen, Sanger, CA 93657 | 2006-10-03 |
| 1689633174 | Donald T Negri Od Inc | Optometrist | 1329 8th St, Sanger, CA 93657 | 2006-03-22 |
| 1265400410 | Gurinder Pal Singh Narain | Internal Medicine | 800 N Street, Sanger, CA 93657 | 2006-03-14 |
| Find all providers in zip 93657 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255713814 | Drug Pharm Inc | Pharmacy | 2407 Jensen Ave Ste 101, Sanger, CA 93657-2248 | 2015-06-19 |
| 1831354307 | Longs Drug Stores California LLC | Pharmacy | 333 Academy Ave, Sanger, CA 93657-2408 | 2008-07-24 |
| 1124563721 | El Portal Pharmacy | Pharmacy | 2407 Jensen Ave Ste 101, Sanger, CA 93657-2497 | 2017-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
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| 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.