Active NPI
Hye Jong Cindy Chaisone
- Pharmacist
- Burke, VA
National Provider Identifier
1164023420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202207094
- Practice address
- 6011 Burke Centre Pkwy
Burke, VA 22015-3717 - Phone
- (703) 425-0362
- Fax
- (844) 411-6531
- NPI assigned
- Nov 3, 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 | 0202207094 | VA | Primary |
Addresses
Primary practice location
6011 Burke Centre Pkwy
Burke, VA 22015-3717
Mailing address
6011 Burke Centre Pkwy
Burke, VA 22015-3717
Phone (703) 425-0362
Other names 1
- Hye Jong Chaisone
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202207094 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Burke, VA
- NPI 1053346098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1164023420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6011 BURKE CENTRE PKWY",
"city": "BURKE",
"state": "VA",
"postal_code": "220153717",
"telephone_number": "703-425-0362",
"fax_number": "844-411-6531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6011 BURKE CENTRE PKWY",
"city": "BURKE",
"state": "VA",
"postal_code": "220153717",
"telephone_number": "703-425-0362",
"fax_number": "844-411-6531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAISONE",
"first_name": "HYE JONG",
"middle_name": "CINDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HYE",
"last_name": "CHAISONE",
"middle_name": "JONG",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Burke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.