Healthcare Provider Details

I. General information

NPI: 1902746290
Provider Name (Legal Business Name): VINH K NGUYEN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 9TH AVE
SEATTLE WA
98101-2756
US

IV. Provider business mailing address

1425 SPRING ST APT 509
SEATTLE WA
98104-1632
US

V. Phone/Fax

Practice location:
  • Phone: 206-624-1144
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH70016770
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: