Active NPI
Esther Jina Chung, PHARMD
- Pharmacist
- Suffern, NY
National Provider Identifier
1215357231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 055349-1
- Practice address
- 5 Indian Rock
Suffern, NY 10901-4907 - Phone
- (845) 357-1500
- NPI assigned
- Apr 17, 2014
- 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 | 055349-1 | NY | Primary |
Addresses
Primary practice location
5 Indian Rock
Suffern, NY 10901-4907
Mailing address
5 Indian Rock
Suffern, NY 10901-4907
Phone (845) 357-1500
Other practice location 1
274 Old Nyack Tpke
Spring Valley, NY 10977-5854
Phone (845) 371-4671
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 |
|---|---|---|---|
| 055349-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1215357231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 INDIAN ROCK",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014907",
"telephone_number": "845-357-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 INDIAN ROCK",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014907",
"telephone_number": "845-357-1500"
}
],
"practiceLocations": [
{
"address_1": "274 Old Nyack Tpke",
"address_purpose": "LOCATION",
"city": "Spring Valley",
"state": "NY",
"postal_code": "109775854",
"country_code": "US",
"telephone_number": "845-371-4671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUNG",
"first_name": "ESTHER",
"middle_name": "JINA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-17",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "055349-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.