Active NPI
Jennifer Van Huynh, PHARM. D.
- Pharmacist
- Prospect Park, PA
National Provider Identifier
1114544582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP452958
- Practice address
- 702 Chester Pike
Prospect Park, PA 19076-1601 - Phone
- (610) 237-3851
- NPI assigned
- Jul 1, 2020
- 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 | RP452958 | PA | Primary |
Addresses
Primary practice location
702 Chester Pike
Prospect Park, PA 19076-1601
Mailing address
4638 State Rd
Drexel Hill, PA 19026-4315
Phone (267) 205-3967
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 |
|---|---|---|---|
| RP452958 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1114544582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4638 STATE RD",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190264315",
"telephone_number": "267-205-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 CHESTER PIKE",
"city": "PROSPECT PARK",
"state": "PA",
"postal_code": "190761601",
"telephone_number": "610-237-3851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "JENNIFER",
"middle_name": "VAN",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-01",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP452958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prospect Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.