Healthcare Provider Details

I. General information

NPI: 1881318517
Provider Name (Legal Business Name): SCOTT NGHIA NGUYEN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1424 UNION AVE
MEMPHIS TN
38104-3625
US

IV. Provider business mailing address

600 S FRONT ST APT 202
MEMPHIS TN
38103-1656
US

V. Phone/Fax

Practice location:
  • Phone: 901-725-7828
  • Fax: 901-725-7920
Mailing address:
  • Phone: 314-401-2312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number46509
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number101959
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: