Individual provider Active NPI

Don Quy Dang, PHARMD

  • Pharmacist
  • Lake Forest, CA
National Provider Identifier
1063125953
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
87494 Issued in CA
Practice address
22942 Ridge Route Dr Ste 104
Lake Forest, CA 92630-3693
Phone
(949) 215-5899
Fax
(949) 215-3855
NPI assigned
Jan 5, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 87494 CA Primary

Addresses

Primary practice location

22942 Ridge Route Dr Ste 104
Lake Forest, CA 92630-3693

Mailing address

22942 Ridge Route Dr Ste 104
Lake Forest, CA 92630-3693
Phone (949) 215-5899

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

LicenseStateTypeSpecialty
87494CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sylvain Pharmacy Inc. CurrentSince Jan 8, 2023 Accepting new patients

Locations

22942 Ridge Route Dr
Ste 104
Lake Forest, CA 92630
Phone (949) 215-5899

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1063125953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22942 RIDGE ROUTE DR STE 104",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303693",
            "telephone_number": "949-215-5899",
            "fax_number": "949-215-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22942 RIDGE ROUTE DR STE 104",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303693",
            "telephone_number": "949-215-5899",
            "fax_number": "949-215-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "DON",
        "middle_name": "QUY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "87494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.