Individual provider Active NPI

Chuong Duong, PHARMD

  • Pharmacist
  • Woodland, CA
National Provider Identifier
1083229132
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
82622 Issued in CA
Practice address
1250 E Gibson Rd
Woodland, CA 95776-6315
Phone
(530) 665-4309
Fax
(530) 665-4310
NPI assigned
Sep 14, 2020
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 82622 CA Primary

Addresses

Primary practice location

1250 E Gibson Rd
Woodland, CA 95776-6315

Mailing address

3644 Corvina Dr
Rancho Cordova, CA 95670-6950
Phone (408) 707-7518

Other practice location 1

2700 Marconi Ave
Sacramento, CA 95821-4914
Phone (916) 576-7319

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
82622CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Walmart Inc. PastSince Sep 20, 2020 Accepting new patients
Walmart Inc. PastSince Sep 20, 2020 Accepting new patients
Walmart Inc. Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1083229132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3644 CORVINA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706950",
            "telephone_number": "408-707-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E GIBSON RD",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957766315",
            "telephone_number": "530-665-4309",
            "fax_number": "530-665-4310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Marconi Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958214914",
            "country_code": "US",
            "telephone_number": "916-576-7319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "CHUONG",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.