Active NPI
Jenny Dang, PHARMD
- Pharmacist
- Palestine, TX
National Provider Identifier
1053745885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53340
- Practice address
- 2201 256 Loop
Apt 1136
Palestine, TX 75801-1015 - Phone
- (617) 842-2151
- NPI assigned
- Aug 28, 2013
- Sex
- Female
- 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 | 183500000X | 53340 | TX | Primary |
Addresses
Primary practice location
2201 256 Loop
Apt 1136
Palestine, TX 75801-1015
Mailing address
4411 Kinsey Dr
Apt 1136
Tyler, TX 75703-1015
Phone (617) 842-2151
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 |
|---|---|---|---|
| 53340 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1053745885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 KINSEY DR",
"address_2": "APT 1136",
"city": "TYLER",
"state": "TX",
"postal_code": "757031015",
"telephone_number": "617-842-2151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 256 LOOP",
"address_2": "APT 1136",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758011015",
"telephone_number": "617-842-2151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "JENNY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-28",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.