Active NPI
Hai Phu Duong, PHARM D
- Pharmacist
- Freedom, CA
National Provider Identifier
1194215434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77985
- Practice address
- 1810 Freedom Blvd
Freedom, CA 95019 - Phone
- (831) 768-0183
- NPI assigned
- May 11, 2018
- Last updated
- May 29, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 77985 | CA | Primary |
Addresses
Primary practice location
1810 Freedom Blvd
Freedom, CA 95019
Mailing address
3624 Bloomsbury Way
San Jose, CA 95132-2003
Phone (408) 858-9325
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 |
|---|---|---|---|
| 77985 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1194215434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3624 BLOOMSBURY WAY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951322003",
"telephone_number": "408-858-9325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 FREEDOM BLVD",
"city": "FREEDOM",
"state": "CA",
"postal_code": "95019",
"telephone_number": "831-768-0183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "HAI",
"middle_name": "PHU",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-11",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freedom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.