Active NPI
Kinying Connie Pang
- Pharmacist
- Surprise, AZ
National Provider Identifier
1255666723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13657
- Practice address
- 15510 W Bell Rd
Surprise, AZ 85374-3436 - Phone
- (623) 546-2565
- Fax
- (623) 544-2992
- NPI assigned
- Oct 16, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13657 | AZ | Primary |
| Pharmacist | 183500000X | 03120920 | OH |
Addresses
Primary practice location
15510 W Bell Rd
Surprise, AZ 85374-3436
Mailing address
15510 W Bell Rd
Surprise, AZ 85374-3436
Phone (623) 546-2565
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 |
|---|---|---|---|
| 13657 | AZ | MD | Pharmacist |
| 03120920 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255651200000",
"number": "1255666723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15510 W BELL RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853743436",
"telephone_number": "623-546-2565",
"fax_number": "623-544-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15510 W BELL RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853743436",
"telephone_number": "623-546-2565",
"fax_number": "623-544-2992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANG",
"first_name": "KINYING",
"middle_name": "CONNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-16",
"last_updated": "2009-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "13657",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03120920",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
- Richard Michael Palmer, M.D., CEDIR
- Sainamitha Reddy Palnati, DO
- Kendra Palumbo
- Jordan David Panchu
- Sushil Raj Pandey, MD
- Paradise for Parents Quality Care,LLC
- Paragon Management, Inc. (Paradise Education Center)
- Park Place Recovery and Wellness Center LLC
- Grace Park, D.D.S
- Amber Lelia Parker, RN, BSN, IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.