Provider Demographics
NPI:1215732631
Name:NGUYEN, JOSEPH (RPH)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:YUSUF
Other - Middle Name:
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8 MOUNT PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:MA
Mailing Address - Zip Code:01906-2022
Mailing Address - Country:US
Mailing Address - Phone:617-955-2886
Mailing Address - Fax:
Practice Address - Street 1:4621 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-4605
Practice Address - Country:US
Practice Address - Phone:631-567-1061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy