DR. VINH KHOA PHUC NGUYEN (NPI# 1912216110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912216110 |
| Entity Type | Individual |
| Full Name | DR. VINH KHOA PHUC NGUYEN |
| Credential | PHARM.D. |
| Practice Address |
1451 Prelude Dr San Jose CA 95131-3317 |
| Practice Telephone | 4082341165 |
| Mailing Telephone | 4082341165 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
62781 | CA | Pharmacy Service Providers |
| Street Address |
1451 PRELUDE DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95131-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346881489 | Herbal Lands Inc | Acupuncturist | 2485 Autumnvale Dr, Ste D, San Jose, CA 95131 | 2019-09-30 |
| 1194373340 | Leylard Santos Caballes | Home Health Aide | 2272 Zoria Circle, San Jose, CA 95131 | 2019-08-30 |
| 1851953848 | Nu Herbal House | Chiropractor | 2092 Concourse Dr #85, San Jose, CA 95131 | 2019-07-01 |
| 1316417900 | Peter Cellarius | Behavior Technician | 2010 N. First St. Ste 402, San Jose, CA 95131 | 2018-11-27 |
| 1285103697 | Connie Bustillo | Case Manager/Care Coordinator | 1356 Ridder Park Drive, San Jose, CA 95131 | 2018-11-14 |
| 1831692722 | Nicholas Jordon Thompson | Counselor | 2218 North First Street, San Jose, CA 95131 | 2018-03-16 |
| 1376072637 | Lee's Care Home | Assisted Living Facility | 5225 Gallant Fox Avenue, San Jose, CA 95131 | 2017-06-08 |
| 1972984649 | Maria De La Luz Gonzalez | Counselor | 1885 Lundy Ave. Suite 223, San Jose, CA 95131 | 2015-06-17 |
| 1720470412 | Bridget Martinez | Physical Therapist | 1172 Murphy Ave #227, San Jose, CA 95131 | 2015-03-04 |
| 1609275593 | Cheryl Lozano | Community Health Worker | 1885 Lundy Ave, Ste 223, San Jose, CA 95131 | 2014-08-18 |
| Find all providers in zip 95131 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447513817 | Kam Wong | Pharmacist | 1400 Parkmoor Ave Ste 120a, San Jose, CA 95126-3797 | 2012-06-20 |
| 1245598838 | Jen Tung Chen | Pharmacist | 751 S Bascom Ave # Be034, San Jose, CA 95128-2604 | 2012-05-02 |
| 1528199577 | Jeannie M Sohn | Pharmacist | 6573 Mount Royal Dr, San Jose, CA 95120-1937 | 2007-03-08 |
| 1033665369 | May Nguyen | Pharmacist | 3155 Silver Creek Rd, San Jose, CA 95121-1730 | 2016-08-28 |
| 1356600274 | Victoria Sun-huie | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2012-05-12 |
| 1770851693 | Kathy Nguyen | Pharmacist | 2400 Moorpark Ave Ste 206, San Jose, CA 95128-2624 | 2011-12-06 |
| 1144500257 | Leticia Cabello | Pharmacist | 2220 Moorpark Ave, San Jose, CA 95128-2613 | 2011-08-19 |
| 1700172202 | Christina Young Lum | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2011-06-22 |
| 1124325691 | Jessica Song | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2011-02-18 |
| 1770615452 | John Grant O'brien | Pharmacist | 2400 Moorpark Ave, Suite 316b, Ira Greene Pace Clinic, San Jose, CA 95128-2631 | 2007-03-09 |
| Find all providers in SAN JOSE | ||||
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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.