Active NPI
Luyen T Doan
- Pharmacist
- Davenport, IA
National Provider Identifier
1265023386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23494
- Practice address
- 4011 E 53Rd St
Davenport, IA 52807-3034 - Phone
- (563) 359-3438
- NPI assigned
- Feb 1, 2021
- 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 | 5302046372 | MI | |
| Pharmacist | 183500000X | 23494 | IA | Primary |
Addresses
Primary practice location
4011 E 53Rd St
Davenport, IA 52807-3034
Mailing address
4011 E 53Rd St
Davenport, IA 52807-3034
Phone (563) 359-3438
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Bridgeport | Direct |
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 |
|---|---|---|---|
| 23494 | IA | MD | Pharmacist |
| 5302046372 | MI | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1265023386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 E 53RD ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073034",
"telephone_number": "563-359-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 E 53RD ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073034",
"telephone_number": "563-359-3438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAN",
"first_name": "LUYEN",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-01",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302046372",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "23494",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Bridgeport",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6224 Dixie Hwy",
"city": "Bridgeport",
"state": "MI",
"country_code": "US",
"postal_code": "487229513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.