Healthcare Provider Details

I. General information

NPI: 1467621318
Provider Name (Legal Business Name): JACQUELINE NGUYEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2008
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E BROMLEY LN
BRIGHTON CO
80601-5505
US

IV. Provider business mailing address

500 E BROMLEY LN
BRIGHTON CO
80601-5505
US

V. Phone/Fax

Practice location:
  • Phone: 303-655-7773
  • Fax: 303-655-0003
Mailing address:
  • Phone: 303-655-7773
  • Fax: 303-655-0003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number16843
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: