Seoungjun Chang, PHARMD
Individual provider Active NPI Pharmacist · Oakland Gardens, NY
NPI 1760142137 · NPPES record last updated Dec 27, 2021
Key facts
- NPI
- 1760142137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 068611 (NY)
- Practice address
- 6129 Springfield Blvd
Oakland Gardens, NY 11364-2335 - Phone
- (631) 575-8278
- NPI assigned
- Dec 27, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068611 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 068611 | NY | Yes |
Addresses
Primary practice location
6129 Springfield Blvd
Oakland Gardens, NY 11364-2335
Mailing address
6129 Springfield Blvd
Oakland Gardens, NY 11364-2335
Phone (631) 575-8278
Other providers in Oakland Gardens, NY
- Christopher Chan
- Shukwah Chan
- Yan Ting Chan
- Jina Chang
- Nan-Ning S Chang
- Steven Chen
- Waley Chen
- Yi Chin Chen
- Yu Chen
- Andrew Cheng
All providers in Oakland Gardens, NY · Pharmacist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.