Eleanor F Kong, PHARM.D.

Primary specialty

Nutrition Support PharmacistTaxonomy code 1835N1003X

License

RPH36810 Issued in CA

Practice address

802 7TH St
Santa Monica, CA 90403-1408

Phone

(310) 393-9821

Fax

(310) 917-2669

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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.

• Antar Corp

  • Community/Retail Pharmacy
  • Santa Monica, CA
  • NPI 1518978147
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336356278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WILSHIRE BLVD",
            "address_2": "STE 446",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035406",
            "telephone_number": "310-892-0468",
            "fax_number": "310-861-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 7TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031408",
            "telephone_number": "310-393-9821",
            "fax_number": "310-917-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "ELEANOR",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "CA",
            "license": "RPH36810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PHARMACIST LICENSE NO.",
            "identifier": "RPH36810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sepideh A Kohn, L.AC
• Noah Kojima, MD
• Laura Kokinda
• Jonathan William Kole, MD
• Steven Elliot Kolker, MD
• Suchanee Kongsamoer, LMT
• Michael Kooby, D.C.
• Scott S Kopoian, PH.D.
• Miriam Kopstein
• Djamal Kord, L.AC.

• Pharmacist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.