Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACK NGUYEN
NPI 1083011209
Pharmacist in Twentynine Palms, CA

Active since December 03, 2014
72253 TWENTYNINE PALMS HIGHWAY, TWENTYNINE PALMS, CA 92277(760) 367-3262 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Nguyen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK NGUYEN (NPI 1083011209) is an individual pharmacist in Twentynine Palms, California, licensed in California (72039) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1083011209
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJACK NGUYEN
Location Address72253 TWENTYNINE PALMS HIGHWAYTwentynine Palms, CA 92277
Mailing Address1145 Sturgis Road, PharmacyTwentynine Palms, CA 92278-8275 · (760) 830-2117
Sole ProprietorYes
Enumeration DateDecember 3, 2014
Last NPPES UpdateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
NPI 1083011209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 72039
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
72253 TWENTYNINE PALMS HIGHWAY, Twentynine Palms, CA 92277

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
72253 TWENTYNINE PALMS HIGHWAY
TWENTYNINE PALMS, CA 92277
Pharmacy (Community/Retail Pharmacy)
72253 TWENTYNINE PALMS HIGHWAY
TWENTYNINE PALMS, CA 92277
Pharmacist
72253 TWENTYNINE PALMS HIGHWAY
TWENTYNINE PALMS, CA 92277
Pharmacist
72253 TWENTYNINE PALMS HIGHWAY
TWENTYNINE PALMS, CA 92277
Pharmacist
72253 TWENTYNINE PALMS HIGHWAY
TWENTYNINE PALMS, CA 92277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Nguyen's NPI number?

The NPI number for Jack Nguyen is 1083011209. It was assigned to this individual provider in the NPPES registry on December 3, 2014.

Where is Jack Nguyen located?

Jack Nguyen practices at 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277. The listed phone number is (760) 367-3262.

What is Jack Nguyen's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jack Nguyen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.