Active NPI
Quyen Hoang, PHARM D
- Pharmacist
- Santa Rosa, CA
National Provider Identifier
1205110616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60818
- Practice address
- 4610 Sonoma Hwy
Santa Rosa, CA 95409-4137 - Phone
- (707) 538-9275
- NPI assigned
- Oct 4, 2011
- Last updated
- Oct 4, 2011
- 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 | 60818 | CA | Primary |
Addresses
Primary practice location
4610 Sonoma Hwy
Santa Rosa, CA 95409-4137
Mailing address
2203 Sunlit Ann Dr
Santa Rosa, CA 95403-8149
Phone (707) 545-9435
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 |
|---|---|---|---|
| 60818 | CA | MD | Physician Assistant |
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": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1205110616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 SUNLIT ANN DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954038149",
"telephone_number": "707-545-9435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 SONOMA HWY",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954094137",
"telephone_number": "707-538-9275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOANG",
"first_name": "QUYEN",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-04",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.