Active NPI
Kevin Tong Duong
- Pharmacist
- San Francisco, CA
National Provider Identifier
1699377093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83644
- Practice address
- 500 Parnassus Ave RM Mu-145
San Francisco, CA 94143-2203 - Phone
- (415) 681-3394
- NPI assigned
- Nov 10, 2020
- Last updated
- Nov 10, 2020
- Sex
- Male
- 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 | 83644 | CA | Primary |
Addresses
Primary practice location
500 Parnassus Ave RM Mu-145
San Francisco, CA 94143-2203
Mailing address
500 Parnassus Ave RM Mu-145
San Francisco, CA 94143-2203
Phone (415) 681-3394
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 |
|---|---|---|---|
| 83644 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
500 Parnassus Ave
Rm MU145
San Francisco, CA 94143
Phone (415) 681-3394
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1699377093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PARNASSUS AVE RM MU-145",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432203",
"telephone_number": "415-681-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PARNASSUS AVE RM MU-145",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432203",
"telephone_number": "415-681-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "KEVIN",
"middle_name": "TONG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.