Active NPI
Jungwon Chin, PHARM.D.
- Pharmacist
- Ellicott City, MD
National Provider Identifier
1760855563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23767
- Practice address
- 10097 Baltimore National Pike
Ellicott City, MD 21042-3611 - Phone
- (443) 973-3339
- NPI assigned
- Nov 3, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 23767 | MD | Primary |
Addresses
Primary practice location
10097 Baltimore National Pike
Ellicott City, MD 21042-3611
Mailing address
3142 Normandy Woods Dr
Apt F
Ellicott City, MD 21043-4221
Phone (919) 280-6962
Other names 1
- Dr. Joyce Chin
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 |
|---|---|---|---|
| 23767 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446508800000",
"number": "1760855563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3142 NORMANDY WOODS DR",
"address_2": "APT F",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210434221",
"telephone_number": "919-280-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10097 BALTIMORE NATIONAL PIKE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210423611",
"telephone_number": "443-973-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "JUNGWON",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-03",
"last_updated": "2015-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "23767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOYCE",
"last_name": "CHIN",
"prefix": "DR.",
"credential": "PHARM.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.