Provider Demographics
NPI:1144106709
Name:NGHIEM, VY THAO (PHARMD)
Entity type:Individual
Prefix:
First Name:VY
Middle Name:THAO
Last Name:NGHIEM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 DANZE DR APT 148
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95111-2979
Mailing Address - Country:US
Mailing Address - Phone:669-237-9519
Mailing Address - Fax:
Practice Address - Street 1:3645 NW 12TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-2847
Practice Address - Country:US
Practice Address - Phone:408-627-1473
Practice Address - Fax:408-627-1473
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00010201183500000X
FLPS68954183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist