Active NPI
Betty Duong, PHARM.D.
- Pharmacist
- Albany, OR
National Provider Identifier
1679850846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11138
- Practice address
- 2255 14TH Ave SE
Albany, OR 97322 - Phone
- (541) 791-9566
- NPI assigned
- Nov 15, 2011
- Last updated
- Aug 10, 2018
- 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 | 11138 | OR | Primary |
Addresses
Primary practice location
2255 14TH Ave SE
Albany, OR 97322
Mailing address
2255 14TH Ave SE
Albany, OR 97322-8513
Phone (541) 791-9566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11138 | Other | OR | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 11138 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1679850846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 14TH AVE SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973228513",
"telephone_number": "541-791-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 14TH AVE SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "97322",
"telephone_number": "541-791-9566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "BETTY",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "11138",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "11138",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.