PHUONG K ONG (NPI# 1649765710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649765710 |
| Entity Type | Individual |
| Full Name | PHUONG K ONG |
| Credential | PHARM D |
| Practice Address |
960 Back Stage Ln Lake Buena Vista FL 32830-8472 |
| Practice Telephone | 4079342030 |
| Practice Fax Number | 4079342031 |
| Mailing Telephone | 4079342030 |
| Mailing Fax Number | 4079342031 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS36142 | FL | Pharmacy Service Providers |
| Street Address |
960 BACK STAGE LN |
| City | LAKE BUENA VISTA |
| State | FL |
| Zip Code | 32830-8472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497936462 | Lisa Clayville Martin | Pharmacist | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2007-11-19 |
| 1295346328 | Danielle Bohrer | Pharmacist | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2020-08-12 |
| 1114538303 | Haley Lang | Pharmacist | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2020-08-12 |
| 1629348891 | Justine Marie Tran | Pharmacist | 960 Back Stage Ln, Lake Buena Vista, FL 32830 | 2012-01-05 |
| 1295036697 | Jeffrey Thomas Nelson | Family Medicine | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2010-11-16 |
| 1285867770 | Sarah Sumrall | Physician Assistant | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2009-08-31 |
| 1093955346 | Kurtis B Mohr | Family Medicine | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2009-02-26 |
| 1831346642 | Healthworks Med Group of Florida P A | Clinic/Center | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2008-08-22 |
| 1912172529 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699045096 | Daniel Wackerly | Pharmacist | 960 Backstage Ln, Lake Buena Vista, FL 32830 | 2012-01-03 |
| 1760752174 | Katie Anne Jadra | Pharmacist | 960 Backstage Lane, Lake Buena Vista, FL 32830 | 2012-01-03 |
| 1437362761 | Boris Fabricio Onate | Family Medicine | 960 Back Stage Lane, Lake Buena Vista, FL 32830 | 2007-05-07 |
| 1568594257 | Sharon Rae Krumins | Internal Medicine | 950 Backstage Lane, Health Services Walt Disney World, Lake Buena Vista, FL 32830 | 2007-03-09 |
| 1215422068 | Mary Cisco | Nurse Practitioner | 950 Backstage Lane, Orlando, FL 32830 | 2018-06-25 |
| 1265702500 | Melvin Nguyen | Pharmacist | 960 Backstage Lane, Lake Buena Vista, FL 32830 | 2012-01-04 |
| 1831469105 | Thomas Robert Dyroff | Pharmacist | 960 Backstage Lane, Lake Buena Vista, FL 32830 | 2012-01-04 |
| 1750509055 | Steven Vonsee | Family Medicine | 950 Backstage Lane, Lake Buena Vista, FL 32830 | 2007-04-23 |
| 1194859025 | Michael Wayne Hankins | Family Medicine | 950 Backstage Lane, Lake Buena Vista, FL 32830 | 2007-03-15 |
| 1689809105 | Christian Robert Marks | Specialist/Technologist | 1478 E Buena Vista Dr, Lake Buena Vista, FL 32830-8422 | 2009-05-28 |
| Find all providers in zip 32830 | ||||
| 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 |
|---|---|---|---|---|
| 1699045096 | Daniel Wackerly | Pharmacist | 960 Backstage Ln, Lake Buena Vista, FL 32830 | 2012-01-03 |
| 1760752174 | Katie Anne Jadra | Pharmacist | 960 Backstage Lane, Lake Buena Vista, FL 32830 | 2012-01-03 |
| 1497936462 | Lisa Clayville Martin | Pharmacist | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2007-11-19 |
| 1295346328 | Danielle Bohrer | Pharmacist | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2020-08-12 |
| 1114538303 | Haley Lang | Pharmacist | 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | 2020-08-12 |
| 1629348891 | Justine Marie Tran | Pharmacist | 960 Back Stage Ln, Lake Buena Vista, FL 32830 | 2012-01-05 |
| 1265702500 | Melvin Nguyen | Pharmacist | 960 Backstage Lane, Lake Buena Vista, FL 32830 | 2012-01-04 |
| 1831469105 | Thomas Robert Dyroff | Pharmacist | 960 Backstage Lane, Lake Buena Vista, FL 32830 | 2012-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093932 | David S Joseph | Pharmacist | 4712 Grainary Ave, Tampa, FL 33624-2106 | 2020-11-05 |
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1801497987 | Sasira Malireddy-konala | Pharmacist | 2461 E Gulf-to-lake, Inverness, FL 34453 | 2020-11-04 |
| 1366043465 | Stefan Ferro | Pharmacist | 637 Whisper Cove Ct, Dunedin, FL 34698-8049 | 2020-11-04 |
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1740881184 | Edward J Kolbasiuk Jr. | Pharmacist | 13113 Darla Ct, Spring Hill, FL 34609-9320 | 2020-11-03 |
| 1942801287 | Richard Loutzenhiser | Pharmacist | 1215 Old Helena Rd, Winter Haven, FL 33884-2102 | 2020-11-03 |
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1265033807 | Larry Box | Pharmacist | 100 Deerpath Ct, Oldsmar, FL 34677-5305 | 2020-11-02 |
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | LAKE BUENA VISTA |
| Zip Code | 32830 |
Please comment or provide details below to improve the information on PHUONG K ONG.
| 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.