Active NPI
Kong Li, PHARMD
- Pharmacist
- El Paso, TX
National Provider Identifier
1306119169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48081
- Practice address
- 8050 N Mesa St
El Paso, TX 79932-1645 - Phone
- (915) 585-0491
- NPI assigned
- Feb 9, 2012
- Last updated
- Dec 27, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 48081 | TX | Primary |
Addresses
Primary practice location
8050 N Mesa St
El Paso, TX 79932-1645
Mailing address
7125 Imperial Ridge Dr
El Paso, TX 79912-7205
Other practice location 1
4208 SW Green Oaks Blvd
Arlington, TX 76017-4111
Phone (817) 483-8368
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 |
|---|---|---|---|
| 48081 | TX | 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, 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": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1306119169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7125 IMPERIAL RIDGE DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799127205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8050 N MESA ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799321645",
"telephone_number": "915-585-0491"
}
],
"practiceLocations": [
{
"address_1": "4208 SW Green Oaks Blvd",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760174111",
"country_code": "US",
"telephone_number": "817-483-8368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LI",
"first_name": "KONG",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-09",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "48081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.