Active NPI
Kevin Khuong Dang, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Phoenix, AZ
National Provider Identifier
1013275320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 15930
- Practice address
- 1035 E Jefferson St
Phoenix, AZ 85034-2295 - Phone
- (602) 251-0650
- NPI assigned
- Apr 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 15930 | AZ | Primary |
Addresses
Primary practice location
1035 E Jefferson St
Phoenix, AZ 85034-2295
Mailing address
23417 N. 64TH Ave
Glendale, AZ 85310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15930-RPH | Other | AZ | IMMUNIZATION PROGRAM |
Other names 1
- Dr. Khuong Hong Pham Dang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15930 | AZ | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416182400000",
"number": "1013275320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23417 N. 64TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 E JEFFERSON ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850342295",
"telephone_number": "602-251-0650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "KEVIN",
"middle_name": "KHUONG",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-25",
"last_updated": "2014-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AZ",
"license": "15930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMMUNIZATION PROGRAM",
"identifier": "15930-RPH",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KHUONG",
"last_name": "DANG",
"middle_name": "HONG PHAM",
"prefix": "DR.",
"credential": "PHARMACY DOCTORATE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.