Individual provider Active NPI

Khanh Dang, PHARMD

  • Pharmacist
  • Pleasantville, NJ
National Provider Identifier
1104146562
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03074700 Issued in NJ
Practice address
900 N New Rd
Pleasantville, NJ 08232-1234
Phone
(609) 272-3002
Fax
(609) 569-0477
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 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 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

LicenseStateTypeSpecialty
28RI03074700NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey CVS Pharmacy, L.L.C. PastSince Dec 6, 2020 Accepting new patients
New Jersey CVS Pharmacy LLC PastSince Dec 6, 2020 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.