Active NPI
Huong Kim Dinh
- Pharmacist
- Colton, CA
National Provider Identifier
1720731011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH57828
- Practice address
- 1280 E Cooley Dr Ste 23
Colton, CA 92324-3986 - Phone
- (909) 514-1730
- Fax
- (909) 514-1316
- NPI assigned
- Jan 27, 2022
- 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 | RPH57828 | CA | Primary |
Addresses
Primary practice location
1280 E Cooley Dr Ste 23
Colton, CA 92324-3986
Mailing address
1280 E Cooley Dr Ste 23
Colton, CA 92324-3986
Phone (909) 514-1730
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 |
|---|---|---|---|
| RPH57828 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KNB Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1720731011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 E COOLEY DR STE 23",
"city": "COLTON",
"state": "CA",
"postal_code": "923243986",
"telephone_number": "909-514-1730",
"fax_number": "909-514-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 E COOLEY DR STE 23",
"city": "COLTON",
"state": "CA",
"postal_code": "923243986",
"telephone_number": "909-514-1730",
"fax_number": "909-514-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINH",
"first_name": "HUONG",
"middle_name": "KIM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-27",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH57828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.