Jeihun Kuack, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28414 Issued in MD

Practice address

6040 Sykesville Rd
Eldersburg, MD 21784-6000

Phone

(410) 781-4720

Fax

(410) 552-3949

NPI assigned

Feb 7, 2022

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": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1649924937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 SYKESVILLE RD",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846000",
            "telephone_number": "410-781-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 SYKESVILLE RD",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846000",
            "telephone_number": "410-781-4720",
            "fax_number": "410-552-3949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7124 Chardon Ct",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "MD",
            "postal_code": "210291744",
            "country_code": "US",
            "telephone_number": "217-281-2818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUACK",
        "first_name": "JEIHUN",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "28414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Michael Knight, DDS
• Sandra Lee Kogan, PH D
• Mark Alan Kootz, PT
• Jennifer A Kottra, D.O
• Lori Kropfelder, NP
• Rajat Kumar, DPT, OCS
• Judith Roehrs Kunnes, LCSWC
• Kurt B. Linkoff, DDS, PA
• L.I.F.E., Inc.
• Lane 4 PT and Performance, LLC

• All providers in Eldersburg, MD
• Pharmacist in Maryland

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

Verify at the official NPI Registry.