Active NPI
Tou Shonpov Khang, RPH
- Geriatric Pharmacist
- Conover, NC
National Provider Identifier
1700108099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 13914
- Practice address
- 508 10TH St NW
Conover, NC 28613-2339 - Phone
- (828) 464-0181
- Fax
- (828) 464-7811
- NPI assigned
- Feb 27, 2010
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 13914 | NC | Primary |
Addresses
Primary practice location
508 10TH St NW
Conover, NC 28613-2339
Mailing address
508 10TH St NW
Conover, NC 28613-2339
Phone (828) 464-0181
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13914 | NC | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267228800000",
"number": "1700108099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 10TH ST NW",
"city": "CONOVER",
"state": "NC",
"postal_code": "286132339",
"telephone_number": "828-464-0181",
"fax_number": "828-464-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 10TH ST NW",
"city": "CONOVER",
"state": "NC",
"postal_code": "286132339",
"telephone_number": "828-464-0181",
"fax_number": "828-464-7811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANG",
"first_name": "TOU",
"middle_name": "SHONPOV",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-27",
"last_updated": "2010-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NC",
"license": "13914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conover, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.