Healthcare Provider Details

I. General information

NPI: 1003579756
Provider Name (Legal Business Name): NHUNG T NGUYEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2021
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 W 38TH AVE
WHEAT RIDGE CO
80212-7058
US

IV. Provider business mailing address

5301 W 38TH AVE
WHEAT RIDGE CO
80212-7058
US

V. Phone/Fax

Practice location:
  • Phone: 303-425-7455
  • Fax: 303-403-2883
Mailing address:
  • Phone: 303-425-7455
  • Fax: 303-403-2883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPHA.0023820
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: