Active NPI
David Dong Kieu, PHARMD
- Pharmacist
- Gilroy, CA
National Provider Identifier
1992005888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61202
- Practice address
- 9460 N Name Uno Ste 100
Gilroy, CA 95020-3536 - Phone
- (408) 842-2001
- Fax
- (408) 842-7141
- NPI assigned
- Oct 26, 2010
- Last updated
- Oct 26, 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61202 | CA | Primary |
Addresses
Primary practice location
9460 N Name Uno Ste 100
Gilroy, CA 95020-3536
Mailing address
9460 N Name Uno Ste 100
Gilroy, CA 95020-3536
Phone (408) 842-2001
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61202 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Pavilion Pharmacy, Inc. | Past | Accepting new patients | |
| Medical Pavilion Pharmacy, Inc. | Past | Accepting new patients |
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.
-
dba Medical Pavilion Pharmacy
- Community/Retail Pharmacy
- Gilroy, CA
- NPI 1205972254
-
dba Medical Pavilion Pharmacy
- Long Term Care Pharmacy
- Gilroy, CA
- NPI 1831884113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1992005888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9460 N NAME UNO STE 100",
"city": "GILROY",
"state": "CA",
"postal_code": "950203536",
"telephone_number": "408-842-2001",
"fax_number": "408-842-7141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9460 N NAME UNO STE 100",
"city": "GILROY",
"state": "CA",
"postal_code": "950203536",
"telephone_number": "408-842-2001",
"fax_number": "408-842-7141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEU",
"first_name": "DAVID",
"middle_name": "DONG",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-26",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.