Jaekyu Shin, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

60621 Issued in CA

Practice address

1001 Potrero Ave
Ward 91, San Francisco General Hospital, Family Health
San Francisco, CA 94110-3518

Phone

(415) 206-5794

Fax

(415) 206-5846

NPI assigned

Aug 22, 2011

Last updated

Apr 19, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1467732404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 PARNASSUS AVE # U585",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432208",
            "telephone_number": "415-514-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "WARD 91, SAN FRANCISCO GENERAL HOSPITAL, FAMILY HEALTH",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-5794",
            "fax_number": "415-206-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "JAEKYU",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-22",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "60621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet CHI-Jane Shimotake, M.D.
• Thomas K. Shimotake, M.D.
• Jung Shin Robin, D.D.S.
• Changsub Alex Shin, PH.D., L.AC., P.T.
• Jaehoon Shin, M.D., PH.D.
• Jaeyoun Shin, MS
• Josephine Ok Kyung Shin, PT
• Krystal Shin, PA-C
• Lauren H Shin, MD
• Seung Yun Shin

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.