Active NPI
Loc Hoang Phuc Duong, PHARMD
- Pharmacist
- South Jordan, UT
National Provider Identifier
1174230783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11437358-1701
- Practice address
- 10429 S Redwood Rd
South Jordan, UT 84095-8502 - Phone
- (801) 446-0996
- NPI assigned
- Nov 2, 2022
- Last updated
- Nov 2, 2022
- Sex
- Male
- 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 | 11437358-1701 | UT | Primary |
Addresses
Primary practice location
10429 S Redwood Rd
South Jordan, UT 84095-8502
Mailing address
10429 S Redwood Rd
South Jordan, UT 84095-8502
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A |
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 |
|---|---|---|---|
| 11437358-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
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, 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": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1174230783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10429 S REDWOOD RD",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840958502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10429 S REDWOOD RD",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840958502",
"telephone_number": "801-446-0996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "LOC",
"middle_name": "HOANG PHUC",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "11437358-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "10429 S Redwood Rd",
"city": "South Jordan",
"state": "UT",
"country_code": "US",
"postal_code": "840958502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.