Active NPI
Kevin Huynh
- Pharmacist
- Grand Junction, CO
National Provider Identifier
1871128496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22762
- Practice address
- 2900 North Ave
Grand Junction, CO 81504-5315 - Phone
- (970) 208-1014
- NPI assigned
- Mar 4, 2020
- 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 | 22762 | CO | Primary |
Addresses
Primary practice location
2900 North Ave
Grand Junction, CO 81504-5315
Mailing address
624 24 1/2 Rd Apt 123
Grand Junction, CO 81505-1566
Phone (720) 938-8053
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 |
|---|---|---|---|
| 22762 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1871128496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 24 1/2 RD APT 123",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815051566",
"telephone_number": "720-938-8053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 NORTH AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815045315",
"telephone_number": "970-208-1014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-04",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "22762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.