Jeanny Hanh Nguyen Nuccitelli, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

012224 Issued in SC

Practice address

1946 Mr Joe White Ave
Myrtle Beach, SC 29577-5624

Phone

(843) 445-7179

NPI assigned

Sep 27, 2013

Last updated

Mar 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1366879918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 MR JOE WHITE AVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 MR JOE WHITE AVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775624",
            "telephone_number": "843-445-7179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 Pilothouse Dr",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295776702",
            "country_code": "US",
            "telephone_number": "843-503-2347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUCCITELLI",
        "first_name": "JEANNY",
        "middle_name": "HANH NGUYEN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "012224",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "12224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnnguye.s06353.us@samsclub.com",
            "affiliation": "Y",
            "endpointDescription": "sams club",
            "affiliationName": "SAMS EAST INC",
            "address_1": "377 Pilothouse Dr",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295776702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jnnguye.s06353.us@samsclub.com",
            "affiliation": "N",
            "address_1": "1946 MR Joe White Ave",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295775624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.