DR. DOMINIQUE NGUYEN


Address: 3820 Northdale Blvd Ste 311a, Tampa, FL 33624-1857
Phone: 8139683544

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336M0003X Pharmacy
Specialization: Managed Care Organization Pharmacy
PS54063 FL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
FL DEPARTMENT OF HEALTH PS54063 01

Other Providers DOMINIQUE NGUYEN

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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

Office Location

Street Address 3820 NORTHDALE BLVD STE 311A
City TAMPA
State FL
Zip Code 33624-1857

Providers in the same zip code

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 Information

Taxonomy Code 3336M0003X
Grouping Suppliers
Classification Pharmacy
Specialization Managed Care Organization Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568748010 Advanced Rx Management Pharmacy 5315 Avion Park Dr Ste 120, Tampa, FL 33607-1461 2011-10-28

Providers in the same taxonomy and state

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

Competitor

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City TAMPA
Zip Code 33624

Improve Information

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Dataset Information

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.

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