Active NPI
Connie T Jung, RPH, PHD
- Pharmacist
- Rockville, MD
National Provider Identifier
1275751620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15318
- Practice address
- 5600 Fishers LN
HF-11, Room 14C-03
Rockville, MD 20857-0001 - Phone
- (301) 827-5902
- Fax
- (301) 827-4774
- NPI assigned
- Apr 23, 2007
- 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 | 15318 | MD | Primary |
Addresses
Primary practice location
5600 Fishers LN
HF-11, Room 14C-03
Rockville, MD 20857-0001
Mailing address
912 Balboa Dr
Silver Spring, MD 20905-7453
Phone (301) 938-2702
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 Philosophy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15318 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275751620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 BALBOA DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209057453",
"telephone_number": "301-938-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 FISHERS LN",
"address_2": "HF-11, ROOM 14C-03",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208570001",
"telephone_number": "301-827-5902",
"fax_number": "301-827-4774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "CONNIE",
"middle_name": "T",
"credential": "RPH, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "15318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- 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.