AUSTIN-PHONG NGOC NGUYEN (NPI# 1710503370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710503370 |
| Entity Type | Individual |
| Full Name | AUSTIN-PHONG NGOC NGUYEN |
| Credential | PHARMD |
| Practice Address |
3540 Mt Diablo Blvd Lafayette CA 94549-3814 |
| Practice Telephone | 9252841550 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 81612 | CA | Pharmacy Service Providers |
| Street Address |
3540 MT DIABLO BLVD |
| City | LAFAYETTE |
| State | CA |
| Zip Code | 94549-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437188455 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3540 Mt Diablo Blvd, Lafayette, CA 94549-3814 | 2006-07-02 |
| 1306138821 | Christopher T Oyoung | Pharmacist | 3540 Mt Diablo Blvd, Lafayette, CA 94549-3814 | 2011-05-03 |
| 1477854321 | Silvia Isel Hernandez | Pharmacist | 3540 Mt Diablo Blvd, Lafayette, CA 94549-3814 | 2010-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
| 1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
| 1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
| 1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
| Find all providers in zip 94549 | ||||
| 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 |
|---|---|---|---|---|
| 1396390613 | Patience Bergeron | Pharmacist | 118 Keelingwood Ln, Lafayette, LA 70507-3254 | 2019-08-04 |
| 1659924439 | Le Nguyen | Pharmacist | 620 Guilbeau Rd Ste A, Lafayette, LA 70506-8709 | 2019-07-19 |
| 1730731969 | Kevin Lagrange | Pharmacist | 107 Kentville Cir, Lafayette, LA 70508-6458 | 2019-07-09 |
| 1750857926 | Spree Chisley | Pharmacist | 103 Glasgow Dr, Lafayette, LA 70508-7050 | 2018-10-15 |
| 1780162586 | Chelsie Morein Head | Pharmacist | 1630 Rue Du Belier Apt 301, Lafayette, LA 70506-6549 | 2018-08-02 |
| 1023505914 | Heather Staton | Pharmacist | 324 W. Patton Street, Lafayette, GA 30728 | 2018-04-17 |
| 1205349784 | Natalie Schwartzel | Pharmacist | 987 S Creasy Ln, Lafayette, IN 47905-4800 | 2017-11-07 |
| 1114439320 | Angelle Marie Voinche | Pharmacist | 5000 Ambassador Caffery Pkwy Bldg 3 Ste B, Lafayette, LA 70508-6984 | 2017-10-27 |
| 1245680743 | Kaleab Alamrew | Pharmacist | 1701 Ambassador Caffery Pkwy, Lafayette, LA 70506-2803 | 2016-06-15 |
| 1003285677 | Philip Asare | Pharmacist | 2517 Kaliste Saloon Rd, Lafayette, LA 70508 | 2015-09-24 |
| Find all providers in LAFAYETTE | ||||
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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.