Active NPI
Kim Duong, PHARMD
- Pharmacist
- Palm Springs, CA
National Provider Identifier
1578845384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60418
- Practice address
- 1700 E Vista Chino
Palm Springs, CA 92262-3511 - Phone
- (760) 864-1516
- Fax
- (760) 864-1568
- NPI assigned
- Sep 16, 2011
- Last updated
- Sep 20, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60418 | CA | Primary |
Addresses
Primary practice location
1700 E Vista Chino
Palm Springs, CA 92262-3511
Mailing address
1700 E Vista Chino
Palm Springs, CA 92262-3511
Phone (760) 864-1516
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 |
|---|---|---|---|
| 60418 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1578845384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 E VISTA CHINO",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922623511",
"telephone_number": "760-864-1516",
"fax_number": "760-864-1568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 E VISTA CHINO",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922623511",
"telephone_number": "760-864-1516",
"fax_number": "760-864-1568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "KIM",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-16",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, CA
- Troy Andrew Duncan
- Jeffrey Sheridan Dunham, M.D
- Laura Ann Dunn, PHARMD
- Paige Dunn
- Anthony Duong, ED.S
- Dva Renal Healthcare Inc (Palm Springs Dialysis)
- Laura Skatvold Dyson Jr., REGISTERED NURSE
- Ea Health Physicians Medical Group, Inc.
- Matthew Alan Easterbrook Sr., BA
- William James Eaton III, MPAS, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.