KEITH DONG (NPI# 1639629827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639629827 |
| Entity Type | Individual |
| Full Name | KEITH DONG |
| Credential | PHARMD |
| Practice Address |
2222 Bancroft Way Pharmacy; Rm 1115 Berkeley CA 94720-4301 |
| Practice Telephone | 5106423249 |
| Practice Fax Number | 5106425759 |
| Mailing Telephone | 5106423249 |
| Mailing Fax Number | 5106425759 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
38042 | CA | Pharmacy Service Providers |
| Street Address |
2222 BANCROFT WAY PHARMACY; RM 1115 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94720-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821033309 | Anna Ylva Bloxham Harte | Internal Medicine | 2222 Bancroft Way, #4300, Berkeley, CA 94720-4300 | 2006-06-18 |
| 1447869813 | Zdravko Rozic | Counselor | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-30 |
| 1518576107 | Joshua Lee | Counselor | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-29 |
| 1689283939 | Jazmin Rodriguez-jordan | Dietitian, Registered | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-23 |
| 1356976542 | Melissa Lock | Pharmacist | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-03-08 |
| 1508490566 | Samuel Haile Melles | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-28 |
| 1568096667 | Camille Burkley | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-27 |
| 1053942425 | Xiaoxia Song | Psychologist | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-03 |
| 1427697457 | Joni-jay Hayes | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2019-12-20 |
| 1275171175 | Robert Pelletier | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2019-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
| 1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
| 1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
| 1811199615 | Ellen De Neef | Physical Therapist | 2222 Bancroft, Berkeley, CA 94720 | 2007-06-04 |
| 1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
| 1619049285 | Vikki V. Yu | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 | 2006-11-15 |
| 1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
| 1154949899 | Thuy-trang Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2020-07-09 |
| 1619498656 | Celia R Gong | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2017-06-29 |
| 1790234680 | Kelsey Lindquist | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720 | 2016-10-03 |
| Find all providers in zip 94720 | ||||
| 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 |
|---|---|---|---|---|
| 1487022505 | Hetal Kantilal Patel | Pharmacist | 1007 Amito Dr, Berkeley, CA 94705-1501 | 2015-09-04 |
| 1124439153 | Laura Polonsky | Pharmacist | 2450 Ashby Ave, Atla Bates Summit Department of Pharmacy, Berkeley, CA 94705-2067 | 2014-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
| 1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
| 1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
| 1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
| 1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
| 1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
| 1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
| 1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
| 1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
| 1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KEITH DONG.
| 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.