Min Kong, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

031296031 Issued in OH

Practice address

1410 E Dorothy LN # 45429
Kettering, OH 45429-3806

Phone

(937) 294-0535

NPI assigned

Nov 26, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1225632524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 E DOROTHY LN # 45429",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293806",
            "telephone_number": "937-294-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 E DOROTHY LN # 45429",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293806",
            "telephone_number": "937-294-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "MIN",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-26",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03129603",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OH",
            "license": "03129603",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OH",
            "license": "031296031",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "031296031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "333600000X",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "pharmacy",
            "affiliation": "N",
            "endpointDescription": "pharmacy",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "pharmacy",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pharmacy",
            "address_1": "1410 E Dorothy Ln # 45429",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454293806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Archana Kodali, M.D.
• Gregory Stephen Kohls, M.D.
• Keri Kolker
• Susan M Komorowski, MD
• Scott David Koncal, MD
• Rachel Marie Korty, NP
• Ronald J. Kossow, MD
• Matthew Adam Kowaleski, DMD
• Laura Elizabeth Kramer, MPAP, PA-C
• Teresa R. Kramer

• Pharmacist in Kettering, OH
• Providers in Kettering, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.