Healthcare Provider Details

I. General information

NPI: 1205766599
Provider Name (Legal Business Name): NGA QUYNH BUI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

856 S MILITARY HWY
VIRGINIA BEACH VA
23464-3548
US

IV. Provider business mailing address

5991 CLEAR SPRINGS RD
VIRGINIA BEACH VA
23464-4603
US

V. Phone/Fax

Practice location:
  • Phone: 757-424-1752
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202223536
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: