Active NPI
Grace Saerom Chin, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Denver, CO
National Provider Identifier
1639833643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PHA.0022335
- Practice address
- 1601 E 19TH Ave Ste 5050
Denver, CO 80218-1200 - Phone
- (720) 754-2155
- NPI assigned
- Oct 26, 2021
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PHA.0022335 | CO | Primary |
Addresses
Primary practice location
1601 E 19TH Ave Ste 5050
Denver, CO 80218-1200
Mailing address
4400 E Bails PL
Denver, CO 80222-4404
Other names 1
- Grace Saerom Park
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA.0022335 | CO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Interoperability endpoints
- strivehealth.gracechin@148422.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1639833643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 E BAILS PL",
"city": "DENVER",
"state": "CO",
"postal_code": "802224404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E 19TH AVE STE 5050",
"city": "DENVER",
"state": "CO",
"postal_code": "802181200",
"telephone_number": "720-754-2155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "GRACE",
"middle_name": "SAEROM",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CO",
"license": "PHA.0022335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRACE",
"last_name": "PARK",
"middle_name": "SAEROM",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.