John Kong, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

67670 Issued in CA

Practice address

12 N 1St Ave
Arcadia, CA 91006-3205

Phone

(626) 348-8930

Fax

(626) 348-8144

NPI assigned

Aug 29, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Pacific Oak Compounding Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Arcadia, CA
  • NPI 1174179030
  NPD Authorized official
• 6122Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1124141270
  NPD (past)
• Republic Medical Clinic PC

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1861361537
  NPD (past)

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1285983866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N 1ST AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063205",
            "telephone_number": "626-348-8930",
            "fax_number": "626-348-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N 1ST AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063205",
            "telephone_number": "626-348-8930",
            "fax_number": "626-348-8144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6122 Whittier Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900224504",
            "country_code": "US",
            "telephone_number": "323-725-1250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONG",
        "first_name": "JOHN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "67670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Knoth
• Catherine Ko, R.D.
• Leanne Koch
• John Paul Koeppel, M.D.
• Kee S Koh, M.D.
• Nadine Kong
• David C Koo, DDS
• Jacob Korula, M.D.
• Prema Kothandaraman, M.D.
• Krista Care LLC

• Pharmacist in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.