Khang Jimmy Minh Duong, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH-0014219 Issued in OR

Practice address

11200 SW Murray Scholls PL Ste 100
Beaverton, OR 97007-9816

Phone

(866) 331-8041

NPI assigned

Sep 16, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1609278100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SW MURRAY SCHOLLS PL STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079816",
            "telephone_number": "866-331-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SW MURRAY SCHOLLS PL STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079816",
            "telephone_number": "866-331-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "KHANG JIMMY",
        "middle_name": "MINH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-16",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-0014219",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0014219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Griffith Dunlap, M.D.
• Matthew R Dunn, DPT
• Rachel Beverly Dunn, MD
• Krista Dunton, DPT
• Kenneth Duong
• Maria Cristina Cruz Duran, M.D.
• Duty Calls, Inc.
• Yulie Duvdevany
• Malinda Ann Dye, PTA
• Danielle Dykone, RN

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.