Individual provider Active NPI

Christopher Haewook Chung, DOCTOR OF PHARMACY

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • San Diego, CA
National Provider Identifier
1669653838
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
63719 Issued in CA
Practice address
10990 San Diego Mission Rd
Kaiser Permanente - Clinical Pharmacy Services
San Diego, CA 92108-2417
Phone
(619) 589-3270
NPI assigned
Nov 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 63719 CA Primary

Addresses

Primary practice location

10990 San Diego Mission Rd
Kaiser Permanente - Clinical Pharmacy Services
San Diego, CA 92108-2417

Mailing address

10990 San Diego Mission Rd
Kaiser Permanente - Clinical Pharmacy Services
San Diego, CA 92108-2417
Phone (619) 589-3270

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
63719CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1669653838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10990 SAN DIEGO MISSION RD",
            "address_2": "KAISER PERMANENTE - CLINICAL PHARMACY SERVICES",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082417",
            "telephone_number": "619-589-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 SAN DIEGO MISSION RD",
            "address_2": "KAISER PERMANENTE - CLINICAL PHARMACY SERVICES",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082417",
            "telephone_number": "619-589-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "CHRISTOPHER",
        "middle_name": "HAEWOOK",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "63719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.