Active NPI
Minh Duong
- Pharmacist
- Renton, WA
National Provider Identifier
1467297366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61321907
- Practice address
- 2715 Naches Ave SW
Renton, WA 98057-2627 - Phone
- (206) 630-7979
- NPI assigned
- Jul 1, 2024
- 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 | 61321907 | WA | Primary |
Addresses
Primary practice location
2715 Naches Ave SW
Renton, WA 98057-2627
Mailing address
16739 168TH Ter SE
Renton, WA 98058-4211
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 |
|---|---|---|---|
| 61321907 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1467297366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16739 168TH TER SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980584211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 NACHES AVE SW",
"city": "RENTON",
"state": "WA",
"postal_code": "980572627",
"telephone_number": "206-630-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "MINH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "61321907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.