KIM BAO NGUYEN (NPI# 1508465717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508465717 |
| Entity Type | Individual |
| Full Name | KIM BAO NGUYEN |
| Practice Address |
3820 Atascocita Rd Humble TX 77396-3564 |
| Practice Telephone | 2818126397 |
| Practice Fax Number | 2818125793 |
| Mailing Telephone | 2818126397 |
| Mailing Fax Number | 2818125793 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
41691 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1063047678 | Kim Nguyen | Pharmacist | 91-919 Fort Weaver Rd Ste 106, Ewa Beach, HI 96706-2257 | 2020-03-04 |
| 1275059495 | Kim Nguyen | Pharmacist | 5305 W Buckeye Rd Ste B, Phoenix, AZ 85043-4727 | 2017-08-18 |
| 1225551377 | Kim Nguyen | Behavior Technician | 1819 Deauville Dr, Stockton, CA 95210-2285 | 2017-07-20 |
| 1649624107 | Kim Nguyen | Chiropractor | 4841 Birmingham Dr, San Jose, CA 95136-2907 | 2016-04-20 |
| 1548625767 | Kim Nguyen | Pharmacist | 4500 Truxel Rd Apt 124, Sacramento, CA 95834-3730 | 2015-12-15 |
| 1609262344 | Kim Thi Nguyen | Psychiatry & Neurology | 100 West Beaver Creek Blvd., Suite 208, Avon, CO 81620 | 2015-04-09 |
| 1245637248 | Kim Ngoc Nguyen | Physician Assistant | 4019 Royal Plantation Ln, Missouri City, TX 77459-2367 | 2014-11-20 |
| 1962808113 | Kim T Nguyen | Counselor | 63 West 119th Street, Apt 1, New York, NY 10026 | 2014-11-17 |
| 1427464692 | Kim Mai Nguyen | Optometrist | 1114 Silber Rd Ste C, Houston, TX 77055-7142 | 2014-07-08 |
| Street Address |
3820 ATASCOCITA RD |
| City | HUMBLE |
| State | TX |
| Zip Code | 77396-3564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023181344 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 3820 Atascocita Rd, Humble, TX 77396-3564 | 2006-11-16 |
| 1508465816 | Daniel Bourn | Pharmacist | 3820 Atascocita Rd, Humble, TX 77396-3564 | 2020-10-19 |
| 1285274852 | Linh T Fuselier | Pharmacist | 3820 Atascocita Rd, Humble, TX 77396-3564 | 2020-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361570 | Lawanza L Nelms | Registered Nurse | 9519 Cimarroncito Ln, Humble, TX 77396 | 2020-09-23 |
| 1821636564 | Radiant Dermatology Fall Creek Pllc | Physician Assistant | 9240 N Sam Houston Pkwy E, Ste 201, Humble, TX 77396 | 2019-12-12 |
| 1952806002 | Adonna Weaver | Counselor | 9659 N. Sam Houston Parkway East, Suite 150 #324, Humble, TX 77396 | 2018-03-29 |
| 1710439484 | Simpke LLC | Chiropractor | 9303 Water Edge Point Lane, Humble, TX 77396 | 2016-10-28 |
| 1619338027 | Christopher Daniel Roundy | Chiropractor | 11347 N Sam Houston Pkwy E, Humble, TX 77396 | 2016-03-11 |
| 1992198923 | F. C. Behavioral Health, Pllc | Clinic/Center | 17810 Spring Tree Drive, Humble, TX 77396 | 2015-03-16 |
| 1417378688 | Menard's Tranportation | Private Vehicle | 15815 Murrelet Ct, Humble, TX 77396 | 2013-12-13 |
| 1124383195 | Tammie M. Thibodeaux | Dentist | 11501 North Sam Houston Parkway East, Suite C, Humble, TX 77396 | 2012-07-05 |
| 1528373271 | Summer Creek Physicians, Pllc | Family Medicine | 11501 North Sam Houston East Pkwy, Suite B, Humble, TX 77396 | 2010-08-18 |
| 1033347752 | Susmitha Jasti | Dentist | 4801 Wilson Road, Ste 200, Humble, TX 77396 | 2009-07-01 |
| Find all providers in zip 77396 | ||||
| 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 |
|---|---|---|---|---|
| 1891394102 | Shaunda Lynn Jackson | Pharmacist | 19250 W Lake Houston Pkwy, Humble, TX 77346-2279 | 2020-10-19 |
| 1801221817 | Modupe M Alabi | Pharmacist | 17603 Bear River Ln, Humble, TX 77346-1559 | 2013-09-09 |
| 1508465816 | Daniel Bourn | Pharmacist | 3820 Atascocita Rd, Humble, TX 77396-3564 | 2020-10-19 |
| 1326670241 | Tam Minh Nguyen | Pharmacist | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2020-02-08 |
| 1356973416 | Stephen John Lugtu Arriola | Pharmacist | 19300 W Lake Houston Pkwy, Humble, TX 77346-2182 | 2020-02-06 |
| 1144851114 | Nathan Rowbury | Pharmacist | 9475 Fm 1960 Bypass Rd W, Humble, TX 77338-4035 | 2020-01-29 |
| 1992335988 | Sarah Ortega Fochtman | Pharmacist | 9475 Fm 1960 Bypass Rd W, Humble, TX 77338-4035 | 2020-01-19 |
| 1285274852 | Linh T Fuselier | Pharmacist | 3820 Atascocita Rd, Humble, TX 77396-3564 | 2020-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497813 | Cindy Layton Potter | Pharmacist | 400 Myrtle St, Nacogdoches, TX 75965-2652 | 2020-11-05 |
| 1306446398 | Claud Cameron | Pharmacist | 23552 Nameless Rd, Leander, TX 78641-9022 | 2020-10-28 |
| 1306445234 | Chloe Lee | Pharmacist | 4620 Sh 121, Lewisville, TX 75056-4530 | 2020-10-21 |
| 1205435195 | Scott Sadlowski | Pharmacist | 12605 I-45 N, Willis, TX 77318 | 2020-10-21 |
| 1841898251 | Pablo Reyna Castro | Pharmacist | 3100 S Gordon St, Alvin, TX 77511-4790 | 2020-10-16 |
| 1659979078 | Tina Teresa Cherian | Pharmacist | 341 S Loop 336 W, Conroe, TX 77304-3309 | 2020-10-16 |
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1396350666 | Patient Care Services Pharmacy Consulting, LLC | Pharmacist | 2000 N Central Expy Ste 214, Plano, TX 75074-5487 | 2020-09-13 |
| 1942813209 | Mountaineer Consultants LLC | Pharmacist | 933 Pellegrino Ave, El Paso, TX 79932-2063 | 2020-08-26 |
| 1326650938 | Oluwagbemiga Adeife Otubanjo | Pharmacist | 1800 Baylor Dr, Arlington, TX 76010-4232 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
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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.