Individual provider Active NPI

Chyong-Fen Kin

  • Pharmacist
  • Brockton, MA
National Provider Identifier
1538520424
Registry record updated Mar 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH24636 Issued in MA
Practice address
641 Belmont St
Brockton, MA 02301-4928
Phone
(508) 584-8520
Fax
(508) 580-3869
NPI assigned
Mar 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH24636 MA Primary

Addresses

Primary practice location

641 Belmont St
Brockton, MA 02301-4928

Mailing address

641 Belmont St
Brockton, MA 02301-4928
Phone (508) 584-8520

Other names 1

  • Chyong-Fen Lin-Micherda Other name

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

State licenses

LicenseStateTypeSpecialty
PH24636MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458345600000",
    "number": "1538520424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014928",
            "telephone_number": "508-584-8520",
            "fax_number": "508-580-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014928",
            "telephone_number": "508-584-8520",
            "fax_number": "508-580-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIN",
        "first_name": "CHYONG-FEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-19",
        "last_updated": "2016-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH24636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHYONG-FEN",
            "last_name": "LIN-MICHERDA",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2016; 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.