Active NPI
Khanh Dang, PHARMD
- Pharmacist
- Pleasantville, NJ
National Provider Identifier
1104146562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03074700
- Practice address
- 900 N New Rd
Pleasantville, NJ 08232-1234 - Phone
- (609) 272-3002
- Fax
- (609) 569-0477
- NPI assigned
- Jun 8, 2010
- Last updated
- Dec 3, 2020
- 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 | 28RI03074700 | NJ | Primary |
Addresses
Primary practice location
900 N New Rd
Pleasantville, NJ 08232-1234
Mailing address
900 N New Rd
Pleasantville, NJ 08232-1234
Phone (609) 272-3002
Other practice location 1
6050 Black Horse Pike
Egg Harbor Twp, NJ 08234-9752
Phone (609) 484-7065
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 |
|---|---|---|---|
| 28RI03074700 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey CVS Pharmacy LLC | Past | Accepting new patients | |
| New Jersey CVS Pharmacy, L.L.C. | Past | Accepting new patients |
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, 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": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1104146562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N NEW RD",
"city": "PLEASANTVILLE",
"state": "NJ",
"postal_code": "082321234",
"telephone_number": "609-272-3002",
"fax_number": "609-569-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N NEW RD",
"city": "PLEASANTVILLE",
"state": "NJ",
"postal_code": "082321234",
"telephone_number": "609-272-3002",
"fax_number": "609-569-0477"
}
],
"practiceLocations": [
{
"address_1": "6050 Black Horse Pike",
"address_purpose": "LOCATION",
"city": "Egg Harbor Twp",
"state": "NJ",
"postal_code": "082349752",
"country_code": "US",
"telephone_number": "609-484-7065",
"fax_number": "609-484-8506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANG",
"first_name": "KHANH",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-08",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03074700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasantville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.