Active NPI
Mai Hanh Dang
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1194325795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61141
- Practice address
- 7557 Sienna Ridge LN
Fort Worth, TX 76131-5119 - Phone
- (682) 309-3876
- NPI assigned
- Nov 1, 2020
- Sex
- Female
- 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 | 61141 | TX | Primary |
Addresses
Primary practice location
7557 Sienna Ridge LN
Fort Worth, TX 76131-5119
Mailing address
7557 Sienna Ridge LN
Fort Worth, TX 76131-5119
Phone (682) 309-3876
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | m0d01rk.s00206.us@wal-mart.com | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61141 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604188800000",
"number": "1194325795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7557 SIENNA RIDGE LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761315119",
"telephone_number": "682-309-3876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7557 SIENNA RIDGE LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761315119",
"telephone_number": "682-309-3876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "MAI HANH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-01",
"last_updated": "2020-11-01",
"certification_date": "2020-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "61141",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "m0d01rk.s00206.us@wal-mart.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "7557 Sienna Ridge Ln",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761315119",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.