Active NPI
Konping Khang, PHARMD
- Pharmacist
- Redmond, WA
National Provider Identifier
1366565319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00068294
- Practice address
- 2701 156TH Ave NE
Redmond, WA 98052-5513 - Phone
- (425) 556-6210
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- 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 | PH00068294 | WA | Primary |
| Pharmacist | 183500000X | 118392 | MN |
Addresses
Primary practice location
2701 156TH Ave NE
Redmond, WA 98052-5513
Mailing address
3202 189TH PL SE
Bothell, WA 98012-7975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP61127 | Other | MN | HEALTH PARTNERS PROVIDER |
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 |
|---|---|---|---|
| 118392 | MN | MD | Pharmacist |
| PH00068294 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1366565319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 189TH PL SE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980127975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 156TH AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525513",
"telephone_number": "425-556-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANG",
"first_name": "KONPING",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00068294",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118392",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS PROVIDER",
"identifier": "HP61127",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.