Active NPIIndividual provider

Katie D Nguyen, RPH

Pharmacist, Ambulatory Care in Revere, Massachusetts

NPI Number1912500919
Practice location
454 Broadway, Revere, MA 02151-3034
Fax
781-485-8161
Last updated
July 9, 2025

Katie D Nguyen is a Pharmacist, Ambulatory Care based in Revere, MA. Katie D Nguyen practices in Revere, MA and has the professional credentials of RPH. The NPI Number for Katie D Nguyen is 1912500919 and holds a License No. PH233028 (MA). The current practice location address for Katie D Nguyen is 454 Broadway, Revere, MA 02151-3034 and can be reached out via phone at 781-485-8272 and via fax at 781-485-8161.

Provider Profile Details

NPI Number
1912500919
Provider Name
Katie D Nguyen
Credential
RPH
Provider Entity Type
Individual
Gender
Female
Address
454 Broadway, Revere, MA 02151-3034
Phone Number
781-485-8272
Fax Number
781-485-8161
Primary Taxonomy
Pharmacist, Ambulatory Care · 1835P2201X
Sole Proprietor
No
Provider Enumeration Date
November 20, 2020
Last Update Date
July 9, 2025
Certification Date
July 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
454 Broadway
Revere, MA 02151-3034
City
Revere
Zip
02151-3034
Phone Number
781-485-8272
Fax Number
781-485-8161
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
195 Canal St
Malden, MA 02148-6701
City
Malden
State
MA
Zip
02148-6701
Phone Number
781-338-8990
Fax Number
781-338-8991

License Information

License Number (1)
PH233028
License State (1)
MA
Taxonomy (1)
Pharmacist · 183500000X
License Number (2)
PH233028
License State (2)
MA
Taxonomy (2)
Pharmacist, Ambulatory Care · 1835P2201X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katie D Nguyen, RPH?

The NPI number of Katie D Nguyen, RPH is 1912500919. It was assigned on November 20, 2020 and is currently active in the NPPES registry.

What is the specialty of Katie D Nguyen, RPH?

Katie D Nguyen, RPH is registered under the primary taxonomy Pharmacist, Ambulatory Care (code 1835P2201X), licensed in MA under license number PH233028.

Where does Katie D Nguyen, RPH practice?

The practice location is 454 Broadway, Revere, MA 02151-3034. The office can be reached at 781-485-8272 (phone) or 781-485-8161 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912500919 directly on the NPPES registry website.

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