DR. ALEXANDER TAM-PHAN NGUYEN (NPI# 1730701392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730701392 |
Entity Type | Individual |
Full Name | DR. ALEXANDER TAM-PHAN NGUYEN |
Credential | PHARMD |
Practice Address |
773 N Silver Leaf Ln Round Lake IL 60073-5267 |
Practice Telephone | 8472268067 |
Mailing Telephone | 8472268067 |
Enumeration Date | 2020-05-17 |
Last Update Date | 2020-05-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
049211843 | IL | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073037891 | Alexander Thai Nguyen | Dentist | 12219 Loya River Ave, Fountain Valley, CA 92708-1330 | 2017-08-02 |
1588041727 | Alexander Nguyen | Student in an Organized Health Care Education/Training Program | 43 W Isle Pl, The Woodlands, TX 77381-3303 | 2015-04-27 |
1528495793 | Alexander Nguyen | Dentist | 7555 E Osborn Rd Ste 206, Scottsdale, AZ 85251 | 2013-10-03 |
1730406729 | Alexander H. Nguyen | Surgery | 4503 M St, Biloxi, MS 39530 | 2010-04-29 |
1538206156 | Alexander Hao Nguyen | Dentist | 20514 Saratoga-los Gatos Road, Suite B, Saratoga, CA 95070 | 2007-01-31 |
1710596598 | Alexander Nguyen | Dentist | 800 1st Ave Sw, Austin, MN 55912-2507 | 2020-07-28 |
1053932335 | Alexander L Nguyen | Pharmacist | 1105 Myrtle Ave, Eureka, CA 95501-1222 | 2020-04-28 |
1497374029 | Alexander Marc Nguyen | Internal Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-04-14 |
1174151740 | Alexander Nguyen | Emergency Medicine | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-03-30 |
1093207474 | Alexander Nguyen | Student in an Organized Health Care Education/Training Program | 707 E Main St, Middletown, NY 10940-2650 | 2018-06-01 |
Street Address |
773 N SILVER LEAF LN |
City | ROUND LAKE |
State | IL |
Zip Code | 60073-5267 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
1013521301 | Self Connected Therapy LLC | Clinic/Center | 2189 N. Rt. 83, #292, Round Lake Beach, IL 60073 | 2020-09-03 |
1538710900 | Mykola Rudyk | Dentist | 425 N Wilson Rd, Round Lake, IL 60073 | 2019-09-26 |
1205344173 | Shamari Mentoring Company | Counselor | 1020 W Rollins Rd, Rould Lake Heights, IL 60073 | 2018-01-13 |
1770007007 | Mary Burnett | Physical Therapy Assistant | 512 S Jade Lane, Round Lake, IL 60073 | 2017-07-28 |
1881055549 | Irina Akimova | Community Health Worker | 715 W. Judd Street, Woodstock, IL 60073 | 2016-03-09 |
1487051751 | Lawrence Scire | Specialist | 800 High School Drive, Round Lake, IL 60073 | 2014-12-02 |
1659778090 | Giacchino James Lech II | Specialist/Technologist | 609 S Jade Ln, Round Lake, IL 60073 | 2014-12-01 |
1407265283 | Linda Lee Eaton | Massage Therapist | 650 S Curran Road, Round Lake, IL 60073 | 2014-08-06 |
Find all providers in zip 60073 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790392223 | Michelle To | Pharmacist | 2252 Aster Ct, Naperville, IL 60565-8893 | 2020-09-29 |
1760099253 | Kelsey Schultz | Pharmacist | 1058 N Paulina St Apt 2, Chicago, IL 60622-3918 | 2020-09-28 |
1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
1578176061 | Omolara Akintilo | Pharmacist | 3254 Toulouse, Bourbonnais, IL 60914-4554 | 2020-08-25 |
1972120285 | Susan F. Michaelis | Pharmacist | 405 W South St, Arlington Heights, IL 60005-1703 | 2020-07-02 |
1336769074 | Shakeel Ahmed | Pharmacist | 1471 E Business Center Dr Ste 500, Mt Prospect, IL 60056-6082 | 2020-04-22 |
1780214668 | Rikii A Pyle | Pharmacist | 1704 W Deyoung St, Marion, IL 62959-1054 | 2020-01-20 |
1629608773 | Madeline Lea Taitt | Pharmacist | 3637 Herrin Rd, Carterville, IL 62918-3156 | 2020-01-16 |
1235769464 | Joshua David Chady | Pharmacist | 550 E Industrial Park Rd, Murphysboro, IL 62966-3947 | 2020-01-15 |
1588205264 | Jeanette Strickland | Pharmacist | 14815 Clark St, Dolton, IL 60419-1529 | 2019-10-03 |
Find all providers with the same taxonomy |
City | ROUND LAKE |
Zip Code | 60073 |
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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.