Active NPI
Khang Minh Vo, RPH
- Pharmacist
- Sutter Creek, CA
National Provider Identifier
1720599400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73962
- Practice address
- 475 State Highway 49
Sutter Creek, CA 95685-4195 - Phone
- (209) 267-5128
- NPI assigned
- Oct 20, 2017
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 73962 | CA | Primary |
Addresses
Primary practice location
475 State Highway 49
Sutter Creek, CA 95685-4195
Mailing address
1100 Riley St
Folsom, CA 95630-3511
Phone (916) 983-5862
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
475 State Highway 49
Sutter Creek, CA 95685
Phone (209) 267-5128
Organizations & group practices 4
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": "1508457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1720599400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 RILEY ST",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303511",
"telephone_number": "916-983-5862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 STATE HIGHWAY 49",
"city": "SUTTER CREEK",
"state": "CA",
"postal_code": "956854195",
"telephone_number": "209-267-5128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VO",
"first_name": "KHANG",
"middle_name": "MINH",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-20",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sutter Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.