Active NPI
Christina Eunan Kang, PHARM D
- Pharmacist
- East Ridge, TN
National Provider Identifier
1396356580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000038574
- Practice address
- 5301 Ringgold Rd
East Ridge, TN 37412-3125 - Phone
- (423) 892-9559
- NPI assigned
- Aug 12, 2020
- Last updated
- Aug 12, 2020
- 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 | 0000038574 | TN | Primary |
Addresses
Primary practice location
5301 Ringgold Rd
East Ridge, TN 37412-3125
Mailing address
7219 Neville Dr
Ooltewah, TN 37363-7219
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 |
|---|---|---|---|
| 0000038574 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1396356580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7219 NEVILLE DR",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373637219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 RINGGOLD RD",
"city": "EAST RIDGE",
"state": "TN",
"postal_code": "374123125",
"telephone_number": "423-892-9559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "CHRISTINA",
"middle_name": "EUNAN",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000038574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Ridge, TN
- Independent Physical Therapy LLC
- Deangelo Laclarence Jelks
- Gregory Robert Joyner, FNP-C
- K-VA-T Food Stores Inc (Food City Pharmacy #710)
- Marie Anne Kamrath, PT, DPT
- Khodiyar Health LLC (Stop-N-Go Discount Pharmacy)
- Joan Elizabeth Kramer, PTA
- Amy Dawn Latham, N.P.
- Marcile Helen Leaf, FNP-C
- Life Care Centers of America, Inc. (Life Care Center of East Ridge)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.