Active NPI
Khang Thai
- Pharmacist
- Dayton, OH
National Provider Identifier
1609309079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03236401
- Practice address
- 1158 Wilmington Ave
Dayton, OH 45420-1662 - Phone
- (937) 252-9894
- NPI assigned
- Apr 4, 2017
- 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 | 03236401 | OH | Primary |
Addresses
Primary practice location
1158 Wilmington Ave
Dayton, OH 45420-1662
Mailing address
6100 Feder Rd
Columbus, OH 43228-9270
Phone (614) 496-6818
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 |
|---|---|---|---|
| 03236401 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KV Health LLC | Current | Accepting new patients | |
| Rite Aid of Ohio Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Columbus, OH
- NPI 1043907538
-
- Community/Retail Pharmacy
- Dayton, OH
- NPI 1245349505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1609309079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 FEDER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432289270",
"telephone_number": "614-496-6818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1158 WILMINGTON AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454201662",
"telephone_number": "937-252-9894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAI",
"first_name": "KHANG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-04",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03236401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.