Thi Phuong Khanh Duong – Pharmacist in New Albany, IN

Key facts

NPI: 1023629987
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 26028885A (IN)
Practice address: 2015 State St
New Albany, IN 47150-4921
Phone: (812) 945-0535
NPI assigned: Aug 13, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Walgreen Co Pharmacy · New Albany, IN · NPI 1124033246

NPD (past)
Walgreen Co Pharmacy · Longview, TX · NPI 1629956545

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
26028885A	IN	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Walgreen Co		Past since Aug 23, 2020	Accepting new patients
Walgreen Co		Past since Aug 23, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	26028885A	IN	Yes

Addresses

Primary practice location

2015 State St
New Albany, IN 47150-4921

Mailing address

2015 State St
New Albany, IN 47150-4921
Phone (812) 945-0535

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 13, 2020.

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1023629987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504921",
            "telephone_number": "812-945-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504921",
            "telephone_number": "812-945-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "THI PHUONG KHANH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26028885A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

All providers in New Albany, IN · Pharmacist in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.