Healthcare Provider Details

I. General information

NPI: 1558274514
Provider Name (Legal Business Name): UYEN NGUY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3475 MCKEE RD
SAN JOSE CA
95127-2233
US

IV. Provider business mailing address

540 BONITA AVE SPC 401
SAN JOSE CA
95116-3316
US

V. Phone/Fax

Practice location:
  • Phone: 669-238-8301
  • Fax:
Mailing address:
  • Phone: 669-238-8301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number93245
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: