Active NPI
Doris Dong
- Pharmacist
- Indianapolis, IN
National Provider Identifier
1346910080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26029556A
- Practice address
- 6745 E Southport Rd
Indianapolis, IN 46237-9728 - Phone
- (317) 887-0691
- NPI assigned
- Sep 15, 2021
- Last updated
- Nov 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26029556A | IN | Primary |
Addresses
Primary practice location
6745 E Southport Rd
Indianapolis, IN 46237-9728
Mailing address
6745 E Southport Rd
Indianapolis, IN 46237-9728
Phone (317) 887-0691
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 |
|---|---|---|---|
| 26029556A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
6745 E Southport Rd
Indianapolis, IN 46237
Phone (317) 887-0691
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": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1346910080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6745 E SOUTHPORT RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462379728",
"telephone_number": "317-887-0691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6745 E SOUTHPORT RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462379728",
"telephone_number": "317-887-0691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONG",
"first_name": "DORIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26029556A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.