Leslie Mai Nguyen

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH239160 Issued in MA

Practice address

641 Belmont St
Brockton, MA 02301-4928

Phone

(508) 584-8520

NPI assigned

Aug 12, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648339200000",
    "number": "1124639299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014928",
            "telephone_number": "508-584-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014928",
            "telephone_number": "508-584-8520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 Quincy Ave",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021698130",
            "country_code": "US",
            "telephone_number": "617-472-4483",
            "fax_number": "617-479-2703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LESLIE",
        "middle_name": "MAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH239160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alireza H Nezhad, M.D.
• Susan Nganga
• Abigail Nganye
• Charlie Lam Nguyen, DC
• Felicia Nguyen, PA-C
• Michelle T. Nguyen, D.O.
• Pho Nguyen, M.D.
• Trang Thanh Nguyen, DMD
• William Nguyen, D.M.D
• Emily Elizabeth Nichols, COTA

• Pharmacist in Brockton, MA
• Providers in Brockton, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.