Mai Ly Nguyen

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH26597 Issued in MA

Practice address

310 Main St
Haverhill, MA 01830-5045

Phone

(978) 521-4671

Fax

(978) 374-8042

NPI assigned

May 30, 2021

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

Practice roles

Locations

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

• Walgreen Co

  • Pharmacy
  • Haverhill, MA
  • NPI 1992710198
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622332800000",
    "number": "1881260933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LANDER ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019062647",
            "telephone_number": "617-331-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018305045",
            "telephone_number": "978-521-4671",
            "fax_number": "978-374-8042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Main St",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018305045",
            "country_code": "US",
            "telephone_number": "978-521-4671",
            "fax_number": "978-374-8042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MAI LY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-30",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH26597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Newell, RN
• Susan Newhouse, MD
• Theresa Newkirk-Boy
• Esther Ngigi
• Priscilla Ntube Ngome
• Phuong Lan Nguyen
• Van Thanh Nguyen
• John R Niceforo, M.D.
• Alyssa Nickerson
• Eridania Nieves, THERAPEUTIC MENTOR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; 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.