Phuong Mai Hoang, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S023769 Issued in AZ

Practice address

101 Naco Rd
Bisbee, AZ 85603-9655

Phone

(703) 340-9101

NPI assigned

Oct 5, 2018

Last updated

Jul 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1689149684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NACO RD",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856039655",
            "telephone_number": "703-340-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NACO RD",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856039655",
            "telephone_number": "703-340-9101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Bethlehem Pike",
            "address_purpose": "LOCATION",
            "city": "Flourtown",
            "state": "PA",
            "postal_code": "190312026",
            "country_code": "US",
            "telephone_number": "703-340-9101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOANG",
        "first_name": "PHUONG",
        "middle_name": "MAI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP452612",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S023769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Griesemer, PA-C
• Linda Thresher Grimes, SLP
• Floyd Randel Gummersall, RN
• Michael Harrington, PHARMD
• James Bruce Henrickson, D.C.
• Faye Chapman Hoese, LPC
• Gilberto Humar
• Christopher Milo Johnson, PT
• Dana Sue Johnson, LCSW
• Lisa E Johnson, LCSW

• Pharmacist in Bisbee, AZ
• Providers in Bisbee, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.