DR. DOMINIQUE NGUYEN (NPI# 1285263871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285263871 |
Entity Type | Individual |
Full Name | DR. DOMINIQUE NGUYEN |
Credential | PHARMD |
Practice Address |
3820 Northdale Blvd Ste 311a Tampa FL 33624-1857 |
Mailing Address |
5210 Fallen Leaf Dr Riverview FL 33578-4740 |
Practice Telephone | 8139683544 |
Mailing Telephone | 9543284762 |
Enumeration Date | 2020-04-06 |
Last Update Date | 2020-04-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
PS54063 | FL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | DEPARTMENT OF HEALTH | PS54063 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316581192 | Dominique Trevizo Nguyen | Rehabilitation Practitioner | 1605 Eastlake Ave, Los Angeles, CA 90033-1009 | 2019-11-04 |
1346741469 | Dominique Nguyen | Behavior Technician | 315 Record St Ste 103, Reno, NV 89512-3327 | 2018-02-23 |
1003263617 | Dominique Nguyen | Family Medicine | 916 Koala Dr, Omak, WA 98841-9759 | 2016-05-24 |
1295916294 | Dominique Nguyen | Pharmacist | 1140 Willis Ave, Albertson, NY 11507-1229 | 2007-11-18 |
1003805813 | Dominique H Nguyen | Anesthesiology | 1500 Citywest Blvd Ste 300, Houston, TX 77042 | 2005-10-14 |
Street Address |
3820 NORTHDALE BLVD STE 311A |
City | TAMPA |
State | FL |
Zip Code | 33624-1857 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922617380 | Transforming Treasures LLC | Behavioral Analyst | 4810 Centerbrook Ct, Tampa, FL 33624 | 2020-07-30 |
1467097642 | Sherryl Lynn Johnson-hanna | Dietitian, Registered | 4904 Rambling Rose Place, Tampa, FL 33624 | 2019-11-12 |
1679125926 | Nurse Practitioner On The Go | In Home Supportive Care | 16411 Oak Manor Drive, Tampa, FL 33624 | 2019-07-16 |
1427547587 | Sylicia Marks | Counselor | 4105 Brentwood Park Cir, Tampa, FL 33624 | 2018-05-04 |
1407352917 | Shelley Von Hightower | Pharmacist | 5008 W. Linebaugh Ave, Suite 35, Tampa, FL 33624 | 2018-04-03 |
1972002178 | Zachary Winterberg | Specialist/Technologist | 3821 Northgreen Ave Apt 1407, Tampa, FL 33624 | 2018-02-03 |
1013423268 | Beyond Care Home Health LLC | Home Health | 3903 Northdale Bvld, 100e, Tampa, FL 33624 | 2017-12-26 |
1285148841 | Gary Donald Kociszewski Jr. | Behavior Technician | 4920 Traskwood Ct, Tampa, FL 33624 | 2017-11-18 |
1932611944 | Valerie Lauren Martinez | Behavior Technician | 14039 Wolcott Dr, Tampa, FL 33624 | 2017-10-31 |
1073038287 | Mesfin T Araya | Non-emergency Medical Transport (VAN) | 4403 Akita Dr, Tampa, FL 33624 | 2017-08-09 |
Find all providers in zip 33624 |
Taxonomy Code | 3336M0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Managed Care Organization Pharmacy |
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
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 |
---|---|---|---|---|
1568748010 | Advanced Rx Management | Pharmacy | 5315 Avion Park Dr Ste 120, Tampa, FL 33607-1461 | 2011-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467964494 | Florida Health Care Plan, Inc | Pharmacy | 200 Southpark Blvd Ste 206, St Augustine, FL 32086-3129 | 2017-10-31 |
1669912184 | We Are One Medical Group Inc. | Pharmacy | 3169 Carthage Ct, Orlando, FL 32837-9032 | 2017-03-02 |
1457477689 | Leon Medical Centers LLC | Pharmacy | 8888 Coral Way, Miami, FL 33165-2008 | 2007-03-21 |
1336209568 | Davita Medical Florida, Inc. | Pharmacy | 1931 W Lumsden Rd, Brandon, FL 33511-8819 | 2006-12-11 |
1063572295 | Optumcare Florida, LLC | Pharmacy | 4757 Us Highway 19, New Port Richey, FL 34652-4945 | 2006-12-11 |
1316958952 | Exp Pharmacy Svc of Fl LLC | Pharmacy | 8275 Bryan Dairy Rd, Largo, FL 33777-1324 | 2006-08-10 |
1184040628 | Florida Health Care Plan Inc | Pharmacy | 707 Platinum Pt, Lake Mary, FL 32746-5702 | 2014-03-07 |
1598922049 | Consulting Results Inc. | Pharmacy | 10876 La Salinas Cir, Boca Raton, FL 33428-1235 | 2008-05-21 |
1134140114 | Humana Medical Plan Inc | Pharmacy | 6971 W Sunrise Blvd, Plantation, FL 33313-4407 | 2006-07-22 |
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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.