Philip Ling-Fat Kong, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

82441 Issued in CA

Practice address

10945 Victory Blvd
North Hollywood, CA 91606-3717

Phone

(818) 487-0119

NPI assigned

Nov 26, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Garfield Beach CVS LLC

  • Pharmacy
  • North Hollywood, CA
  • NPI 1801994397
  NPD (past)
• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)
• Weis Markets Inc

  • Community/Retail Pharmacy
  • Waldorf, MD
  • NPI 1609739366
  NPD (past)
• Weis Markets, Inc.

  • Community/Retail Pharmacy
  • Dundalk, MD
  • NPI 1396195418
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1043789753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8013 LA MERCED RD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703552",
            "telephone_number": "626-228-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063717",
            "telephone_number": "818-487-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "PHILIP",
        "middle_name": "LING-FAT",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-26",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "25749",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP E-PROFILE ID",
            "identifier": "1175424",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avedis Kojayan
• Vartoohi Kokanian
• Ani Kolangian, PHARMD
• Mina Kolta, RPH
• Joyce Kong
• Arie Koren, RPT
• Ronald David Korn, MFT
• Michael M Koshak, MD
• Eman Kotb
• Jordan Krebs, LMFT

• Pharmacist in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.