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Johnny Nguyen, Pharm.D

Pharmacist in Diberville, MS. Individual provider (NPI-1).

NPI number1154901643
StatusActive
Last updated in NPPESApr 9, 2021

Details

NPI
1154901643
Entity type
Individual (NPI-1)
Name
Johnny Nguyen
Credential
Pharm.D
Sex
Male
Sole proprietor
No
Enumeration date
Apr 9, 2021
Certification date
Apr 9, 2021
Last updated
Apr 9, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistE-100021MSYes
183500000X PharmacistPST.023750LA

Practice location

10290 Diberville Blvd
Diberville, MS 39540-2536

Phone 228-271-6751

Mailing address

3755 River Loop Dr
Diberville, MS 39540-8802

Phone 228-326-4322

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Diberville, MS

All 34 Pharmacist providers in Diberville · All 214 providers in Diberville

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