PHUONG TRAN NGUYEN (NPI# 1467071878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467071878 |
| Entity Type | Individual |
| Full Name | PHUONG TRAN NGUYEN |
| Credential | PHARMD |
| Practice Address |
Hwy 264 Mp 388 Hopi Health Care Center Polacca AZ 86042 |
| Mailing Address |
Po Box 31 Keams Canyon AZ 86034-0031 |
| Practice Telephone | 9287376100 |
| Mailing Telephone | 9287376195 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26599 | MD | Pharmacy Service Providers |
| Street Address |
HWY 264 MP 388 HOPI HEALTH CARE CENTER |
| City | POLACCA |
| State | AZ |
| Zip Code | 86042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417007170 | The Hopi Tribe | Ambulance | Hwy 264 Mp 388, Polacca, AZ 86042 | 2007-01-12 |
| 1497068076 | Aurelia Taylor | Registered Nurse | Hwy 264 Mp 388, Polacca, AZ 86042-4000 | 2010-07-23 |
| 1225356421 | Tracy Denet | Registered Nurse | Hwy 264 Mp 388, Polacca, AZ 86042-4000 | 2010-05-12 |
| 1811214935 | Lesa G Poola | Registered Nurse | Hwy 264 Mp 388, Polacca, AZ 86042-4000 | 2010-04-29 |
| 1023335650 | Dolores Gensure | Registered Nurse | Hwy 264 Mp 388, Polacca, AZ 86042-4000 | 2010-04-21 |
| 1891010880 | Valerie Cline | Registered Nurse | Hwy 264 Mp 388, Polacca, AZ 86042-0984 | 2010-04-01 |
| 1093038739 | Rhonda Talaswaima | Social Worker | Hwy 264 Mp 388, Hopi Health Care Center, Polacca, AZ 86042-4000 | 2010-03-09 |
| 1255466231 | Kelly Anne Vitz | Physical Therapist | Hwy 264 Mp 388, Hhcc - Physical Therapy Department, Polacca, AZ 86042-4000 | 2007-02-22 |
| 1538207410 | Susan Elizabeth Bigley | Nurse Practitioner | Hwy 264 Mp 388, Polacca, AZ 86042 | 2007-02-02 |
| 1013055672 | Darren Vicenti | Family Medicine | Hwy 264 Mp 388, Polacca, AZ 86042 | 2007-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553787 | Megan Gilliam | Pharmacist | Mile Post 288 Hwy 264, Polacca, AZ 86042 | 2020-09-21 |
| 1295348787 | Emma Guadalupe Cortez | Nurse's Aide | Hopi Health Care, Hwy 264 Mp 388, Polacca, AZ 86042 | 2020-08-25 |
| 1942835434 | Kevin C Powers | Registered Nurse | Route 264 Mp 388, Polacca, AZ 86042 | 2020-03-05 |
| 1780217463 | Kim N Le | Family Medicine | Mile Post 388 Highway 264, Polacca, AZ 86042 | 2020-02-20 |
| 1265959365 | Karen Olivia Francis | Registered Nurse | Highway 264 Mile Post, Hopi Health Care Facility, Polacca, AZ 86042 | 2017-08-29 |
| 1629598339 | Marina Kanoelani Mehau-sanchez | Pharmacist | Hwy 264 At Mile Post 388, Hopi Health Care Center, Polacca, AZ 86042 | 2017-06-23 |
| 1184096786 | Erica Lalo | Technician, Other | Hwy 264 Mp388, Polacca, AZ 86042 | 2015-10-22 |
| 1790124618 | Michael Everett Robinson | Registered Nurse | Highway 264 Mile Post 388, Polacca, Az 86042, Hopi Health Care Center (ihs), Polacca, AZ 86042 | 2013-06-25 |
| 1760728232 | Rhanishia Smith | Registered Nurse | Highway 264 Mile Pot 388, Polacca, AZ 86042 | 2013-01-02 |
| 1871818492 | Stacy Talahytewa II | Radiologic Technologist | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2010-04-07 |
| Find all providers in zip 86042 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553787 | Megan Gilliam | Pharmacist | Mile Post 288 Hwy 264, Polacca, AZ 86042 | 2020-09-21 |
| 1629598339 | Marina Kanoelani Mehau-sanchez | Pharmacist | Hwy 264 At Mile Post 388, Hopi Health Care Center, Polacca, AZ 86042 | 2017-06-23 |
| 1427170695 | Gary Alan Reeves | Pharmacist | Highway 264 Mile Marker 388, Hopi Health Care Center, Polacca, AZ 86042 | 2007-04-06 |
| 1629073564 | Hellen Adcock | Pharmacist | Hwy 264 At Milepost 388, Polacca, AZ 86042-4000 | 2005-06-16 |
| 1932715026 | Lydia M Segers | Pharmacist | Highway 264 Mile Post 388, Polacca, AZ 86042 | 2020-09-23 |
| 1942816236 | Philip Patrick Moffett | Pharmacist | Highway 264 Mile Marker 388, Polacca, AZ 86042 | 2020-09-22 |
| 1750852273 | Brittany Marie Sinanan | Pharmacist | Highway 264, Mile Post 388, Polacca, AZ 86042 | 2018-12-10 |
| 1831691849 | Zainab Khatoon | Pharmacist | Highway 264 Mile Post 388, Polacca, AZ 86042 | 2018-03-06 |
| 1770943656 | Biau Wong | Pharmacist | Hwy 264 Mile Post 388, Polacca, AZ 86042-4000 | 2016-03-04 |
| 1578928230 | Daniel C Lyons | Pharmacist | Highway 264 Mile Post 388, Polacca, AZ 86042-1014 | 2015-12-23 |
| Find all providers in POLACCA | ||||
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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.