Rose P Chin, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

8594 Issued in TN

Practice address

2525 Horizon Lake Dr
Suite 101
Memphis, TN 38133-8119

Phone

(901) 248-3700

NPI assigned

Apr 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Mytrang Pham Chin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dragonfly Health RX, Inc.

  dba Enclara Pharmacia, Inc.

  • Long Term Care Pharmacy
  • Memphis, TN
  • NPI 1548371610
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184840894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 FLOWERS OAK CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383738",
            "telephone_number": "901-757-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HORIZON LAKE DR",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381338119",
            "telephone_number": "901-248-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "ROSE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "8272",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "8594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYTRANG",
            "last_name": "CHIN",
            "middle_name": "PHAM",
            "prefix": "MRS.",
            "credential": "DPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ameisha Perry Childs, RRT
• Angela Carroll Childs, BS, RPSGT, RST, CCSH
• Cordra Denise Childs
• Edward S Chin, DPH
• Frank T Chin, M.D.
• Alex Jordan Chinn, M.D.
• Harry J Chinn Jr., DDS
• Lauren Tucker Chipman, M.D.
• Michael Lloyd Chipman, AG-ACNP
• Steven Thomas Chipman, P.T.

• Pharmacist in Memphis, TN
• Providers in Memphis, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.