Carmen Chung, PHARMD
Individual provider Active NPI Pharmacist · Millbrae, CA
NPI 1154714459 · NPPES record last updated Mar 11, 2015
Key facts
- NPI
- 1154714459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 72328 (CA)
- Practice address
- 45 S El Camino Real
Millbrae, CA 94030-3124 - Phone
- (650) 697-3970
- NPI assigned
- Mar 11, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72328 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 72328 | CA | Yes |
Addresses
Primary practice location
45 S El Camino Real
Millbrae, CA 94030-3124
Mailing address
45 S El Camino Real
Millbrae, CA 94030-3124
Other providers in Millbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.