DR. KEVIN KHUONG DANG (NPI# 1013275320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013275320 |
| Entity Type | Individual |
| Full Name | DR. KEVIN KHUONG DANG |
| Other Name | DR. KHUONG HONG PHAM DANG |
| Credential | PHARMD |
| Practice Address |
1035 E Jefferson St Phoenix AZ 85034-2295 |
| Mailing Address |
23417 N. 64th Ave Glendale AZ 85310 |
| Practice Telephone | 6022510650 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2014-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
15930 | AZ | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | IMMUNIZATION PROGRAM | 15930-RPH | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275934838 | Kevin Dang | Physical Therapist | 1711 Alcorn Bayou Dr, Sugar Land, TX 77479-3209 | 2014-09-12 |
| 1376503169 | Kevin Huy Dang | Optometrist | 4189 Phoenix Ave, Fort Smith, AR 72903-6013 | 2006-03-24 |
| 1063861466 | Kevin Dang | Pharmacist | 2690 S White Rd, Suite 200-a, San Jose, CA 95148-2076 | 2016-06-07 |
| 1760802771 | Kevin Dang | Anesthesiology | 1000 Lipscomb St Ste 110, Ft Worth, TX 76104-3181 | 2014-04-17 |
| 1568749943 | Kevin N Dang | Pharmacist | 4310 Ames Ave, Omaha, NE 68111-2149 | 2011-11-13 |
| 1891763470 | Kevin H Dang | Anesthesiology | 25395 Hancock Ave, Ste100, Murrieta, CA 92562-9019 | 2006-03-09 |
| Street Address |
1035 E JEFFERSON ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85034-2295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215051511 | Magellan Health Services of Arizona, Inc. | Case Management | 1035 E Jefferson St, #a, Phoenix, AZ 85034-2295 | 2007-03-19 |
| 1811515901 | Peninah N Gitonga | Registered Nurse | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2020-07-06 |
| 1033574710 | Laura Ajero | Licensed Practical Nurse | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2015-12-22 |
| 1831565282 | Empact - Suicide Prevention Center | Community/Behavioral Health | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2015-08-19 |
| 1588056667 | Wendy Hannah Ownbey | Registered Nurse | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2015-02-26 |
| 1437541661 | Kay Lynn Simons | Registered Nurse | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2015-02-25 |
| 1376935569 | Deborah Jones Styer | Registered Nurse | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2015-02-24 |
| 1265838759 | Deborah Kay Hall | Case Manager/Care Coordinator | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2014-11-10 |
| 1356760102 | Maricopa County Special Health Care District | General Acute Care Hospital | 1035 E Jefferson St, Suite B, Phoenix, AZ 85034-2295 | 2014-04-09 |
| 1336383066 | People of Color Network | Clinic/Center | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2009-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093208340 | Curtis James Bierscheid | Physical Therapist | 1828 E Sky Harbor Circle North, Building 2, Suite 150, Phoenix, AZ 85034 | 2018-06-12 |
| 1437654969 | Genoa Healthcare, LLC | Pharmacy | 1035 E Jefferson St Ste P1, Phoenix, AZ 85034 | 2018-03-27 |
| 1659871697 | Us Careways-phx | Clinic/Center | 3800 E Sky Harbor Blvd, Phoenix, AZ 85034 | 2018-02-16 |
| 1053854638 | Josiah Nnadozie Nwaokwa | Nurse Practitioner | 1035 E Jefferson Street, La Frontera -empact Spc, Phoenix, AZ 85034 | 2016-11-30 |
| 1568869915 | Lacee Johnson | Speech-Language Pathologist | 5025 E Washington Street, Suite 212, Phoenix, AZ 85034 | 2014-12-01 |
| 1679974406 | Jagdeep Bains | Pharmacist | 5324 E Washington St, #a, Phoenix, AZ 85034 | 2014-09-11 |
| 1275885030 | Nancy Louise Brewer | Nurse Practitioner | 3800 E Sky Harbor Blvd Fl T4, Phoenix, AZ 85034 | 2012-10-03 |
| 1386928414 | The Facts of Life Grouphome, Inc | Community/Behavioral Health | 1122 E. Buckeye Road, Phoenix, AZ 85034 | 2011-10-07 |
| 1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
| 1689979106 | Latanya King | Counselor | 1122 East Buckeye Road, Suite B-1, Phoenix, AZ 85034 | 2011-01-13 |
| Find all providers in zip 85034 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487101028 | Marisol Ibarra | Pharmacist | 4802 N 12th St Apt 1086, Phoenix, AZ 85014-4098 | 2016-09-01 |
| 1457719858 | John Randle House | Pharmacist | 3345 E Behrend Dr, Phoenix, AZ 85050-3983 | 2016-02-01 |
| 1790113637 | Patricia Dorothea Hoyt | Pharmacist | 1300 N 12th St # 406, Phoenix, AZ 85006-2848 | 2013-10-30 |
| 1326313982 | Pamela Ann Wolfson | Pharmacist | 4212 E Sunrise Dr, Phoenix, AZ 85044-1012 | 2012-03-15 |
| 1114928314 | Daniel Patrick Boyle | Pharmacist | 650 E Indian School Rd Dept Of, Phoenix, AZ 85012-1839 | 2005-08-10 |
| 1619584620 | Anh Nguyen Truc Huynh | Pharmacist | 3511 W Peoria Ave, Phoenix, AZ 85029-4037 | 2020-09-24 |
| 1376154385 | Doyinsola Adetunji | Pharmacist | 4707 E Shea Blvd, Phoenix, AZ 85028-4215 | 2020-08-13 |
| 1881220432 | Palna Suri Patel | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-03-16 |
| 1780163287 | Delia Saadeh Ziadat | Pharmacist | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2018-08-07 |
| 1144723495 | Maricopa County D.b.a. Maricopa County Depart | Pharmacist | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2018-03-13 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.