Hung Dang

Key facts

NPI

1053910448

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X

License

41951 (TX)

Practice address

5190 Highway 78
Sachse, TX 75048-4202

Phone

(972) 675-1066

Fax

(972) 675-6996

NPI assigned

Oct 18, 2020

Sex

Male

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.

• Kroger Texas L P Community/Retail Pharmacy · Sachse, TX · NPI 1942373477
  NPD (past)
• Kroger Texas LP Community/Retail Pharmacy · Fort Worth, TX · NPI 1407747439
  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

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 22, 2020.

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1053910448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 HIGHWAY 78",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750484202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 HIGHWAY 78",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750484202",
            "telephone_number": "972-675-1066",
            "fax_number": "972-675-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "HUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "41951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shilpa Dhawan, DMD

All providers in Sachse, TX · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas