Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Nguyen

Individual provider Pharmacist · NPI 1083011209

Jack Nguyen is a Pharmacist in Twentynine Palms, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

72253 Twentynine Palms Hwy
Twentynine Palms, CA 92277
Phone: (760) 367-3262
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 72039 (CA)

Record details

NPI number1083011209
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 3, 2014
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026
Mailing address1145 Sturgis Road, Pharmacy, Twentynine Palms, CA 92278-8275

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