Individual provider Active NPI

Nga Hoang Nguyen, PHARM D

  • Pharmacist
  • Picayune, MS
National Provider Identifier
1467855965
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-11790 Issued in MS
Practice address
801 Highway 11 S
Picayune, MS 39466-5382
Phone
(769) 926-2730
Fax
(769) 926-2731
NPI assigned
Sep 29, 2014
Last updated
Oct 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-11790 MS Primary

Addresses

Primary practice location

801 Highway 11 S
Picayune, MS 39466-5382

Mailing address

PO Box 4445
Biloxi, MS 39535-4445
Phone (228) 207-0960

Other practice location 1

1701 Highway 43 N
Picayune, MS 39466-2844
Phone (769) 926-2740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
E-11790MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kanif Group LLC Past Accepting new patients
Kanif Group LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1467855965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4445",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395354445",
            "telephone_number": "228-207-0960",
            "fax_number": "228-207-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HIGHWAY 11 S",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665382",
            "telephone_number": "769-926-2730",
            "fax_number": "769-926-2731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Highway 43 N",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394662844",
            "country_code": "US",
            "telephone_number": "769-926-2740",
            "fax_number": "769-926-2741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NGA",
        "middle_name": "HOANG",
        "name_prefix": "Ms.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-11790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.