Active NPI
Sung Mi Kyung, RPH
- Pharmacist
- Elmhurst, NY
National Provider Identifier
1659524460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045382
- Practice address
- 8277 Broadway
Elmhurst, NY 11373-3352 - Phone
- (718) 672-7781
- Fax
- (718) 565-7298
- NPI assigned
- Oct 24, 2008
- Last updated
- Oct 24, 2008
- 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 | 045382 | NY | Primary |
Addresses
Primary practice location
8277 Broadway
Elmhurst, NY 11373-3352
Mailing address
8277 Broadway
Elmhurst, NY 11373-3352
Phone (718) 672-7781
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045382 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Eastern Co Inc | 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": "1224806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224806400000",
"number": "1659524460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8277 BROADWAY",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733352",
"telephone_number": "718-672-7781",
"fax_number": "718-565-7298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8277 BROADWAY",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733352",
"telephone_number": "718-672-7781",
"fax_number": "718-565-7298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYUNG",
"first_name": "SUNG",
"middle_name": "MI",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-24",
"last_updated": "2008-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.