Dr. Phu Nguyen , PharmD

Physician • Miami, FL

Active NPI 1366091050 Individual Practitioner Male Practitioner

Practice location in NPPES

1400 Nw 12th Ave Ste 2002
Miami, FL 331361003

Call 3057029065 Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

NPI assigned on September 5, 2019; this date does not establish years in practice.
No Medicare Part B / Part D records for this NPI in the CMS files shown here. CMS covers only Medicare fee-for-service / Part D claims and omits records with fewer than 11 beneficiaries, so this does not show whether the provider accepts Medicare or prescribes.

Practice Location & Contact Primary Location

Practice Address

1400 Nw 12th Ave Ste 2002

Miami, FL 331361003

Telephone 3057029065

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

Organization at the Same NPPES Address or Phone

Walgreen Co Facility NPI 1457894289

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-26

Pharmacy - Community/Retail Pharmacy Primary Specialty

NUCC Taxonomy Code: 3336C0003X

License # reported to NPPES FL PS59809

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events

📍

Updated Practice Location December 26, 2022

Registered at 1400 NW 12TH AVE STE 2002, MIAMI, FL 331361003 (Tel: 3057029065)

📍

Updated Business Mailing Address December 26, 2022

Registered at 1400 NW 12TH AVE STE 2002, MIAMI, FL 331361003 (Tel: 7865120679)

✅

NPI Profile Active September 05, 2019

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) September 05, 2019

Registered at 15195 SW 42ND ST, MIAMI, FL 331853949 (Tel: 3052237895)

📍

Business Mailing Address (Initial Record) September 05, 2019

Registered at 8873 NW 167TH ST, MIAMI LAKES, FL 330186121 (Tel: 7865120679)

👤

Provider Name / Credentials (Initial Record) September 05, 2019

Recorded as PHU NGUYEN, PHARM.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2019

Pharmacy (license number reported to NPPES: FL PS59809)

🟢

Initial NPI Registration & Enumeration September 05, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366091050

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 05, 2019

Last Update: December 26, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1400 Nw 12th Ave Ste 2002

Miami, FL 331361003

Phone: 7865120679

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.