Individual provider Active NPI

CHI Yin Gabriel Kwong, PHARM.D.

  • Nutrition Support Pharmacist
  • Dallas, TX
National Provider Identifier
1457420457
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support PharmacistTaxonomy code 1835N1003X
License
25432 Issued in TX
Practice address
5909 Harry Hines Blvd.
Ut Southwestern Medical Center, Pharmacy
Dallas, TX 75390-9236
Phone
(214) 645-1075
Fax
(214) 645-1074
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Pharmacist 1835N1003X 25432 TX Primary
Oncology Pharmacist 1835X0200X 25432 TX

Addresses

Primary practice location

5909 Harry Hines Blvd.
Ut Southwestern Medical Center, Pharmacy
Dallas, TX 75390-9236

Mailing address

9209 Grant Dr
Rowlett, TX 75088-4479
Phone (972) 475-4511

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

LicenseStateTypeSpecialty
25432TXMDOncology Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1457420457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 GRANT DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884479",
            "telephone_number": "972-475-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 HARRY HINES BLVD.",
            "address_2": "UT SOUTHWESTERN MEDICAL CENTER, PHARMACY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909236",
            "telephone_number": "214-645-1075",
            "fax_number": "214-645-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWONG",
        "first_name": "CHI YIN",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "TX",
            "license": "25432",
            "primary": true
        },
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "TX",
            "license": "25432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.