Active NPI
Kim Ngocthi Dinh, RPH
- Pharmacist
- Santa Clara, CA
National Provider Identifier
1093379455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54063
- Practice address
- 2700 Homestead Rd
Santa Clara, CA 95051-5353 - Phone
- (408) 247-8700
- Fax
- (408) 247-8214
- NPI assigned
- Apr 30, 2019
- 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 | 54063 | CA | Primary |
Addresses
Primary practice location
2700 Homestead Rd
Santa Clara, CA 95051-5353
Mailing address
2700 Homestead Rd
Santa Clara, CA 95051-5353
Phone (408) 247-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003859844 | Other | CA | CVS HEALTH |
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
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1093379455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 HOMESTEAD RD",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950515353",
"telephone_number": "408-247-8700",
"fax_number": "408-247-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 HOMESTEAD RD",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950515353",
"telephone_number": "408-247-8700",
"fax_number": "408-247-8214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINH",
"first_name": "KIM",
"middle_name": "NGOCTHI",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "54063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CVS HEALTH",
"identifier": "1003859844",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.