Active NPI
Christie Hae Dong Chung
- Pharmacist
- Forest Hills, NY
National Provider Identifier
1609585579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 069893
- Practice address
- 9715 Metropolitan Ave
Forest Hills, NY 11375-6601 - Phone
- (718) 261-1647
- NPI assigned
- Nov 21, 2022
- Last updated
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 069893 | NY | Primary |
Addresses
Primary practice location
9715 Metropolitan Ave
Forest Hills, NY 11375-6601
Mailing address
9715 Metropolitan Ave
Forest Hills, NY 11375-6601
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
| License | State | Type | Specialty |
|---|---|---|---|
| 069893 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | 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": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1609585579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9715 METROPOLITAN AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9715 METROPOLITAN AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756601",
"telephone_number": "718-261-1647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "CHRISTIE",
"middle_name": "HAE DONG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "069893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.