Active NPI
Son Thanh Doan
- Pharmacist
- Cambridge, MA
National Provider Identifier
1437846706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH27720
- Practice address
- 36 White St
Cambridge, MA 02140-1442 - Phone
- (617) 876-5519
- NPI assigned
- Apr 18, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH27720 | MA | Primary |
Addresses
Primary practice location
36 White St
Cambridge, MA 02140-1442
Mailing address
19 Hampton St
Saugus, MA 01906-1812
Phone (857) 998-0900
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 |
|---|---|---|---|
| PH27720 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1437846706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 HAMPTON ST",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019061812",
"telephone_number": "857-998-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WHITE ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021401442",
"telephone_number": "617-876-5519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAN",
"first_name": "SON",
"middle_name": "THANH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-18",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH27720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.