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KIM NGOC ETHEART PHARM.D
NPI 1265939102
Pharmacist in Rohnert Park, CA

Active since April 08, 2018
4625 REDWOOD DR, ROHNERT PARK, CA 94928(707) 586-3612(707) 586-3624 Get Directions Write a Review

NPPES record last updated: April 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim Ngoc Etheart Pharm.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM NGOC ETHEART PHARM.D (NPI 1265939102) is an individual pharmacist in Rohnert Park, California, licensed in California (53875) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1265939102
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKIM NGOC ETHEARTCredential: PHARM.D
Location Address4625 REDWOOD DRRohnert Park, CA 94928-7941
Mailing Address4625 Redwood DrRohnert Park, CA 94928-7943 · (707) 586-3612 · Fax (707) 586-3624
Phone(707) 586-3612
Fax(707) 586-3624
Sole ProprietorNo
Enumeration DateApril 8, 2018
✔ NPI 1265939102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 53875
Definition
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.
4625 REDWOOD DR, Rohnert Park, CA 94928
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALMART INC.
Pharmacy (Community/Retail Pharmacy)
4625 REDWOOD DR
ROHNERT PARK, CA 94928
Sonoma County (707) 586-3612
WAL-MART STORES, INC.
Eyewear Supplier
4625 REDWOOD DR
ROHNERT PARK, CA 94928
Sonoma County (707) 586-3717
CHARMIENE CAMOT
Pharmacist
4625 REDWOOD DR
ROHNERT PARK, CA 94928
Sonoma County (707) 586-3612
FIRSTSIGHT VISION SERVICES, INC.
Optometrist
4625 REDWOOD DR
ROHNERT PARK, CA 94928
Sonoma County (707) 586-1689
DAVID MAZZA
Pharmacist
4625 REDWOOD DR
ROHNERT PARK, CA 94928
Sonoma County (707) 586-3624
STEPHANIE PHUONG LE
Pharmacist
4625 REDWOOD DR
ROHNERT PARK, CA 94928
Sonoma County (707) 586-3612
THANH-HANG TRINH PHARMD
Pharmacist
4625 REDWOOD DR
ROHNERT PARK, CA 94928
Sonoma County (707) 586-3612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Ngoc Etheart's NPI number?

The NPI number for Kim Ngoc Etheart is 1265939102. It was assigned to this individual provider in the NPPES registry on April 8, 2018.

Where is Kim Ngoc Etheart located?

Kim Ngoc Etheart practices at 4625 Redwood Dr, Rohnert Park, CA 94928. The listed phone number is (707) 586-3612.

What is Kim Ngoc Etheart's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kim Ngoc Etheart was last updated on April 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.