Individual provider Active NPI

Jeongha Chung, PHARMD

  • Pharmacist
  • Denver, CO
National Provider Identifier
1306320734
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA.0022906 Issued in CO
Practice address
929 N Broadway
Denver, CO 80203-2705
Phone
(800) 874-5881
NPI assigned
Sep 21, 2018
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHA.0022906 CO Primary

Addresses

Primary practice location

929 N Broadway
Denver, CO 80203-2705

Mailing address

929 N Broadway
Denver, CO 80203-2705
Phone (800) 874-5881

Other identifiers 2

IdentifierTypeStateIssuer
PHA.0022906OtherCOCOLORADO DEPARTMENT OF REGULATORY AGENCIES
9000200388MedicaidCO

Other names 1

  • Dr. Heidi Chung Other name

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

LicenseStateTypeSpecialty
PHA.0022906COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alto Pharmacy, LLC CurrentSince Oct 22, 2023 Accepting new patients
White Drug Co of Jamestown Inc Past Accepting new patients
White Drug Co of Jamestown Inc Past Accepting new patients

Locations

929 N Broadway
Denver, CO 80203

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1306320734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N BROADWAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032705",
            "telephone_number": "800-874-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N BROADWAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032705",
            "telephone_number": "800-874-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JEONGHA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2023-10-18",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0022906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES",
            "identifier": "PHA.0022906",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000200388",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "CHUNG",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.