Healthcare Provider Details

I. General information

NPI: 1467361444
Provider Name (Legal Business Name): NGHI THAM-DAN NGHIEM PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11815 EDUCATION ST
AUBURN CA
95602-2410
US

IV. Provider business mailing address

1153 OAK TREE CIR
EL DORADO HILLS CA
95762-4065
US

V. Phone/Fax

Practice location:
  • Phone: 530-888-4533
  • Fax: 530-886-6633
Mailing address:
  • Phone: 916-719-6390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number48549
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: