Individual provider Active NPI

Min S Kwon, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Glenwood, MD
National Provider Identifier
1396272928
Registry record updated May 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
19260 Issued in MD
Practice address
14347 Musgrove Farm CT
Glenwood, MD 21738-9535
Phone
(917) 941-3550
Fax
(917) 941-3550
NPI assigned
May 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 19260 MD Primary

Addresses

Primary practice location

14347 Musgrove Farm CT
Glenwood, MD 21738-9535

Mailing address

14347 Musgrove Farm CT
Glenwood, MD 21738-9535
Phone (917) 941-3550

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

NPI Registry JSON

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

{
    "created_epoch": "1494633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494633600000",
    "number": "1396272928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14347 MUSGROVE FARM CT",
            "city": "GLENWOOD",
            "state": "MD",
            "postal_code": "217389535",
            "telephone_number": "917-941-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14347 MUSGROVE FARM CT",
            "city": "GLENWOOD",
            "state": "MD",
            "postal_code": "217389535",
            "telephone_number": "917-941-3550",
            "fax_number": "917-941-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "MIN",
        "middle_name": "S",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-13",
        "last_updated": "2017-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MD",
            "license": "19260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2017; 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.