Active NPI
Jenny Chiem, RPH
- Pharmacist
- Johns Creek, GA
National Provider Identifier
1164196358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033096
- Practice address
- 5805 State Bridge Rd
Johns Creek, GA 30097-8220 - Phone
- (770) 813-7456
- NPI assigned
- Aug 2, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 033096 | GA | Primary |
Addresses
Primary practice location
5805 State Bridge Rd
Johns Creek, GA 30097-8220
Mailing address
3003 Salem Oak Way
Duluth, GA 30096-4633
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033096 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1164196358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 SALEM OAK WAY",
"city": "DULUTH",
"state": "GA",
"postal_code": "300964633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5805 STATE BRIDGE RD",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300978220",
"telephone_number": "770-813-7456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIEM",
"first_name": "JENNY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-02",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "033096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.