PHONG DUONG (NPI# 1316221104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316221104 |
| Entity Type | Individual |
| Full Name | PHONG DUONG |
| Practice Address |
1201 Nw 12th St Moore OK 73170-1220 |
| Mailing Address |
812 Nw 18th St Moore OK 73160-1508 |
| Practice Telephone | 4057992244 |
| Mailing Telephone | 4055129263 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14792 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801933387 | Phong Quoc Duong | Dentist | 11210 Veterans Memorial Dr., Suite B, Houston, TX 77067-3758 | 2007-01-31 |
| 1205863826 | Phong X Duong | Pharmacist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-06-27 |
| Street Address |
1201 NW 12TH ST |
| City | MOORE |
| State | OK |
| Zip Code | 73170-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861407827 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1201 Nw 12th St, Moore, OK 73170-1220 | 2006-07-29 |
| 1770095374 | Thanh Thy Thi Tran | Pharmacist | 1201 Nw 12th St, Moore, OK 73170-1220 | 2017-11-04 |
| 1144654146 | Chris Nguyen | Pharmacist | 1201 Nw 12th St, Moore, OK 73170-1220 | 2013-08-26 |
| 1548540073 | Diem B Pham | Pharmacist | 1201 Nw 12th St, Moore, OK 73170-1220 | 2011-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1982233565 | Bethany Ann Arthur | Student in an Organized Health Care Education/Training Program | 661 Waterview Rd, Okc, OK 73170 | 2020-04-06 |
| 1952868929 | Ariana N. Ree | Peer Specialist | 328 Sw 147th St, Oklahoma City, OK 73170 | 2019-02-26 |
| 1780151431 | Looking Up Counseling | Counselor | 709 Sw 119th Ste. B1, Okc, OK 73170 | 2018-10-31 |
| 1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
| 1619468378 | Nhan Nguyen | Student in an Organized Health Care Education/Training Program | 10504 S Miller Ave, Oklahoma City, OK 73170 | 2018-05-29 |
| 1740709906 | Hall Podiatry LLC | Clinic/Center | 20 Sw 132nd Terrace, Moore, OK 73170 | 2017-09-19 |
| 1942727896 | Adelaide V South | Dietitian, Registered | 12216 S Land Ave, Oklahoma City, OH 73170 | 2017-08-22 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| 1245762293 | Michael David Detten | Physical Therapist | 10740 S May Ave Ste 111, Oklahoma City, OK 73170 | 2017-03-29 |
| Find all providers in zip 73170 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255238 | Jason Barrett | Pharmacist | 1280 N Eastern Ave Ste F, Moore, OK 73160-5882 | 2019-09-26 |
| 1689003816 | Guyla Burns | Pharmacist | 708 Hazelwood St, Moore, OK 73160-8306 | 2013-11-07 |
| 1407104383 | John Nabor Wyndham Jr. | Pharmacist | 202 Donegal Dr, Moore, SC 29369-9009 | 2012-08-27 |
| 1336423300 | Brandon Lee Benear | Pharmacist | 313 Sw 42nd Ct, Moore, OK 73160 | 2011-10-07 |
| 1518247535 | Jamie Graham | Pharmacist | 112 Woodruff Ct, Moore, SC 29369-9613 | 2011-08-22 |
| 1114206505 | Pinkey Mahesh Patel | Pharmacist | 720 Southwest 19th Street, Moore, OK 73160 | 2011-08-16 |
| 1386939874 | Andrea Clem | Pharmacist | 720 S.w. 19th St., T-2727, Moore, OK 73160 | 2011-06-13 |
| 1609913128 | Barry Anthony Earle | Pharmacist | 420 Grand Oak Way, Moore, SC 29369-9035 | 2007-01-31 |
| 1114016359 | Debbie Jo Lewis | Pharmacist | 322 N Service Rd, Moore, OK 73160-4945 | 2006-10-12 |
| 1730274226 | Jeff R Mcdown | Pharmacist | 621 N Broadway, Moore, OK 73160 | 2006-10-03 |
| Find all providers in MOORE | ||||
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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.