KEVIN SANG PHUNG (NPI# 1780139519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780139519 |
| Entity Type | Individual |
| Full Name | KEVIN SANG PHUNG |
| Credential | PHARM.D. |
| Practice Address |
3101 Western Ave Ste 100 Seattle WA 98121-3017 |
| Practice Telephone | 8005233080 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-12-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0014412 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794066 | Kevin Trong Phung | Dentist | 4550 Country Club Rd, Winston Salem, NC 27104-3518 | 2020-09-14 |
| 1366007171 | Kevin Phung | Behavior Technician | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192 | 2019-05-07 |
| 1689930018 | Kevin Gia-le Phung | Obstetrics & Gynecology | 1500 San Pablo St, 3rd Floor, Los Angeles, CA 90033-5313 | 2012-04-10 |
| Street Address |
3101 WESTERN AVE STE 100 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98121-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790767671 | Don Gruntowicz | Pharmacist | 3101 Western Ave Ste 100, Genelex Corporation, Seattle, WA 98121-3017 | 2005-11-16 |
| 1730684127 | Invitae Corporation | Clinical Medical Laboratory | 3101 Western Ave Ste 100, Seattle, WA 98121-3017 | 2018-03-27 |
| 1982111423 | Genelex LLC | Clinical Medical Laboratory | 3101 Western Ave Ste 100, Seattle, WA 98121-3017 | 2018-01-05 |
| 1528329620 | Tyler Armstrong Mamiya | Pharmacist | 3101 Western Ave Ste 100, Seattle, WA 98121-3017 | 2012-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963233 | Mehrangiz Peimai | Interpreter | 2020 Terry Ave #203, Seattle, WA 98121 | 2020-08-21 |
| 1649839614 | Lisa Williams | Counselor | El Ray, 2119 2nd Ave, Seattle, WA 98121 | 2019-06-12 |
| 1629634332 | Emmanuel K Acheampong Jr. | Physical Therapist | 2720 4th Ave Apt 115, Seattle, WA 98121 | 2019-05-17 |
| 1538650049 | Laura Rochelle Sauvage | Dentist | 2045 Westlake Ave, Seattle, WA 98121 | 2018-05-21 |
| 1407354657 | Vera Whole Health Wa PC | Clinic/Center | 2318 4th Avenue, Seattle, WA 98121 | 2018-01-23 |
| 1881114601 | Brandon Tyler Thompson | Counselor | 2119 2nd Ave., Seattle, WA 98121 | 2017-06-22 |
| 1255886677 | Nkiruka Aderogba | Nurse Practitioner | 300 Lenora Street, Seattle, WA 98121 | 2016-08-16 |
| 1770924227 | Virginia J. Washburn | Marriage & Family Therapist | 2021 - 1st Ave., #g2, Seattle, WA 98121 | 2013-07-12 |
| 1700139706 | Maxine K Anderson | Psychoanalyst | 2100 Western Ave, #69, Seattle, WA 98121 | 2012-10-16 |
| 1790036903 | Neal Christopher Raval | Dentist | 2801 1st Avenue, #509, Seattle, WA 98121 | 2012-09-27 |
| Find all providers in zip 98121 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608199 | Kathy Tong | Pharmacist | 3941 S Warsaw St, Seattle, WA 98118-3253 | 2020-10-27 |
| 1518564590 | David Bye | Pharmacist | 1000 2nd Ave Ste 2400, Seattle, WA 98104-1041 | 2020-10-03 |
| 1720694144 | Lwam Dori Ekubazgi | Pharmacist | 5900 37th Ave S Apt H42, Seattle, WA 98118-6234 | 2020-09-21 |
| 1194339465 | Rosa Nguyen | Pharmacist | 1956 Ne Pacific St # H362, Seattle, WA 98195-0001 | 2020-09-03 |
| 1578173134 | Ellen K Giang | Pharmacist | 801 Spring St Apt 2-1213, Seattle, WA 98104-4214 | 2020-08-07 |
| 1962020800 | Erin Marie Williams | Pharmacist | 805 Madison St Ste 702, Seattle, WA 98104-2099 | 2020-07-07 |
| 1558981613 | Gilbert Chao Ko | Pharmacist | Pharmacy Sciences Building 1956 Ne Pacific St H362, Seattle, WA 98195-0001 | 2020-04-19 |
| 1487273371 | Snehal Desai | Pharmacist | 530 Melrose Ave E Apt 409, Seattle, WA 98102-4779 | 2020-04-11 |
| 1144859638 | Ponciano F Bautista | Pharmacist | 4002 49th Ave S, Seattle, WA 98118-1228 | 2020-04-06 |
| 1033747498 | Brittany Dawn Bassett | Pharmacist | 1956 Ne Pacific St, Seattle, WA 98195-0001 | 2020-03-31 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.