Jin Kyung Song, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

A1-0015635 Issued in DE

Practice address

2727 W Cheltenham Ave
Wyncote, PA 19095-2930

Phone

(215) 886-7399

NPI assigned

Mar 12, 2021

Last updated

Mar 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1467037325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 CONSHOHOCKEN AVE APT 427",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315345",
            "telephone_number": "631-965-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W CHELTENHAM AVE",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190952930",
            "telephone_number": "215-886-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JIN KYUNG",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0015635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suranda Singleton, M.S. CCC SLP
• Sisti Counseling Services LLC
• Kaeleigh Rose Smedley
• Smile Center of Wyncote, LLC
• Kim Linh Son, PHARM.D
• Charnae Spady Ward
• Louise Hope Speirs, MSCCC SLP
• Suzanne M St. John, PH.D.
• Janet S. Stanley, M.S. CLINICAL PSYCHO
• Regina E Stanton, CRNP

• Pharmacist in Wyncote, PA
• Providers in Wyncote, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.