Active NPI
Cong Dang, RPH
- Pharmacist
- Springfield, MO
National Provider Identifier
1487928586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044112
- Practice address
- 2726 E Woodford St
Springfield, MO 65804-7557 - Phone
- (417) 863-0002
- NPI assigned
- Mar 7, 2012
- Sex
- Male
- 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 | 044112 | MO | Primary |
Addresses
Primary practice location
2726 E Woodford St
Springfield, MO 65804-7557
Mailing address
1536 W Sunshine St
Springfield, MO 65807-2349
Phone (417) 766-6990
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044112 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shell Knob Pharmacy LLC | Current | Accepting new patients | |
| Don Peterson Drug Co | Current | Accepting new patients | |
| Sunshine Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Cassville, MO
- NPI 1831194703
-
- Community/Retail Pharmacy
- Shell Knob, MO
- NPI 1518980986
-
- Community/Retail Pharmacy
- Springfield, MO
- NPI 1992010185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1487928586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1536 W SUNSHINE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658072349",
"telephone_number": "417-766-6990",
"fax_number": "417-863-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2726 E WOODFORD ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658047557",
"telephone_number": "417-863-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "CONG",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-07",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "044112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.