Kieungan Dao

Primary specialty

PharmacistTaxonomy code 183500000X

License

01030 Issued in NH

Practice address

420 Ashby Rd
Ashburnham, MA 01430-1124

Phone

(781) 856-2730

NPI assigned

Apr 22, 2021

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2021.

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1679155287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 ASHBY RD",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014301124",
            "telephone_number": "781-856-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 ASHBY RD",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014301124",
            "telephone_number": "781-856-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "KIEUNGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "21481",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "01030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Marie Bogdasarian, PA-C
• Rebecca Caitlin Boucher
• Christine Carney, LICSW
• Victoria Lee Chamberlain
• Deanna Elizabeth Cormier, LPN
• Julienne Florival Desravines, RDN LDN
• Nancy Duphily
• Martha Catherine Durkin
• Kathleen Elizabeth Fahey, RD
• Family Home Medical Equipment & Supplies, Inc.

• All providers in Ashburnham, MA
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.