Active NPI
Hung Doan, PHARMD
- Pharmacist
- Hyde Park, MA
National Provider Identifier
1306123419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH26120
- Practice address
- 1065 Truman Highway
Hyde Park, MA 02132 - Phone
- (617) 361-1811
- NPI assigned
- Nov 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | PH26120 | MA | Primary |
| Pharmacist | 183500000X | 61880 | CA |
Addresses
Primary practice location
1065 Truman Highway
Hyde Park, MA 02132
Mailing address
17 Garnet Rd
West Roxbury, MA 02132-1318
Phone (617) 361-1811
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 |
|---|---|---|---|
| 61880 | CA | MD | Pharmacist |
| PH26120 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1306123419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 GARNET RD",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021321318",
"telephone_number": "617-361-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 TRUMAN HIGHWAY",
"city": "HYDE PARK",
"state": "MA",
"postal_code": "02132",
"telephone_number": "617-361-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAN",
"first_name": "HUNG",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-03",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH26120",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61880",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyde Park, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.