Dae Hyun Jin, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

68543 Issued in TX

Practice address

2500 Daniel McCall Dr
Lufkin, TX 75904-7129

Phone

(936) 639-2275

NPI assigned

Sep 14, 2021

Sex

Male

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1497425227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LORENZ RD APT 907",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092504",
            "telephone_number": "512-820-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DANIEL MCCALL DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759047129",
            "telephone_number": "936-639-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "DAE HYUN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "68543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry H. Jenkins, M.D., P.a.
• Jerry L Johnson MD PA
• Jerry L Spinks, MD, PA
• Robert Timothy Jewell, LPC, LCDC
• Vanessa Jacqueline Jimenez, ATC, LAT, CES
• Corley Jobe, CCC, SLP
• Sydney Kayla Jobe, LCSW
• John a. Rudis, MD,PA
• Johnson & Johnson Investments, LLC
• Johnson and Johnson Investments of Onalaska, LLC

• Pharmacist in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.