Healthcare Provider Details

I. General information

NPI: 1033665369
Provider Name (Legal Business Name): MAY NGUYEN PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 06/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3155 SILVER CREEK RD
SAN JOSE CA
95121-1730
US

IV. Provider business mailing address

3155 SILVER CREEK RD
SAN JOSE CA
95121-1730
US

V. Phone/Fax

Practice location:
  • Phone: 408-238-6070
  • Fax:
Mailing address:
  • Phone: 408-238-6070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number76203
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: