DR. KHOA DANG NGUYEN (NPI# 1992217582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992217582 |
| Entity Type | Individual |
| Full Name | DR. KHOA DANG NGUYEN |
| Credential | PHARMD |
| Practice Address |
520 S Eagle Rd Meridian ID 83642-6351 |
| Practice Telephone | 2087065255 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH0016238 | OR | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RP0010180 | WV | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PH60786953 | WA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | P7869 | ID | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5108 Cleveland Blvd, Caldwell, ID 836078002 | 2084550800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336775394 | Khoa Van Dang Nguyen | Student in an Organized Health Care Education/Training Program | 7701 Lakewood Park Dr, Sacramento, CA 95828-4966 | 2020-03-20 |
| 1194386896 | Khoa Nguyen | Dentist | 2801 W Charleston Blvd, Las Vegas, NV 89102-1922 | 2019-06-24 |
| 1215597216 | Khoa Dinh Dang Nguyen | Pharmacist | 303 Nova Ct, Silver Spring, MD 20904-5902 | 2019-06-20 |
| 1588113567 | Khoa Dang Nguyen | Social Worker | 8855 Bergamo Cir, Stockton, CA 95212-3050 | 2016-10-01 |
| 1144620956 | Khoa Huu Nguyen | Dentist | 15836 Champion Forest Dr, Spring, TX 77379-7141 | 2014-08-28 |
| 1184037459 | Khoa Nguyen | Acupuncturist | 4011 Gamma St, San Diego, CA 92113-4014 | 2014-06-04 |
| 1639516982 | Khoa Phuong Nguyen | Dentist | 927 E Arques Ave # 171, Sunnyvale, CA 94085 | 2013-05-28 |
| 1447502786 | Khoa Dang Nguyen | Optometrist | 68-1845 Waikoloa Rd Ste 218, Waikoloa, HI 96738-5584 | 2012-10-10 |
| 1164789087 | Khoa M Nguyen | Pharmacist | 5230 Port Royal Rd, Springfield, VA 22151-2102 | 2012-04-17 |
| 1013294149 | Khoa Dang Nguyen | Pharmacist | 2525a Holly Hall St, Houston, TX 77054-4124 | 2011-11-03 |
| Street Address |
520 S EAGLE RD |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-6351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348015 | Robert E. Holland Jr. | Family Medicine | 520 S Eagle Rd, Ste 1241, Meridian, ID 83642-6351 | 2005-07-07 |
| 1659984284 | Heather R Zimmerman | Occupational Therapist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-08-24 |
| 1619587573 | Maria Herbison | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-08-05 |
| 1952927543 | Grayson T Kendall | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-06-19 |
| 1891310371 | David Joseph Matthews | Respiratory Therapist, Registered | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-06-10 |
| 1356960603 | Rebecca Finder | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-04-15 |
| 1982231023 | Stephen Blake Miltner | Physical Therapist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-03-26 |
| 1093342834 | Clayton Hawks | Nurse Practitioner | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-03-23 |
| 1912547647 | Emily Tyler Getlein Marques | Nurse Practitioner | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-01-10 |
| 1184264244 | Jordan Leach | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| 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 |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1386282572 | Renee L Patton | Pharmacist | 520 S Eagle Rd Ste 2108, Meridian, ID 83642-6363 | 2019-12-18 |
| 1114370319 | Whitney Lauren Hurt | Pharmacist | 1280 S Ashlee Pl, Meridian, ID 83642-2489 | 2016-07-22 |
| 1831583053 | William Belau | Pharmacist | 2703 S Weber Rapids Pl, Meridian, ID 83642-7481 | 2015-03-25 |
| 1811305089 | Cassandra Carper | Pharmacist | 1968 N Golfview Way, Meridian, ID 83646 | 2014-07-31 |
| 1790101970 | Rebecca Barrios | Pharmacist | 2115 W Apgar Creek Dr, Meridian, ID 83646-5985 | 2014-03-11 |
| 1679909824 | Chelsey Wright | Pharmacist | 5621 N Larkwood Ave, Meridian, ID 83646-5972 | 2013-09-19 |
| 1174967012 | Amy S Isaacs | Pharmacist | 800 S Industry Way, Ste 240, Meridian, ID 83642-3059 | 2013-04-22 |
| 1619239860 | Michael Gardner | Pharmacist | 1680 E Handel St, Meridian, ID 83646-4708 | 2012-06-13 |
| 1578847851 | Kathryn Handel | Pharmacist | 520 S Eagle Rd Ste 1000, Meridian, ID 83642-6353 | 2011-10-04 |
| Find all providers in MERIDIAN | ||||
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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.