Active NPI
Myung Song
- Pharmacist
- Bronx, NY
National Provider Identifier
1851525208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 037315
- Practice address
- 1500 Waters PL
Bronx, NY 10461-2723 - Phone
- (718) 862-5029
- Fax
- (718) 862-4881
- NPI assigned
- May 13, 2009
- Last updated
- May 13, 2009
- 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 | 037315 | NY | Primary |
Addresses
Primary practice location
1500 Waters PL
Bronx, NY 10461-2723
Mailing address
1500 Waters PL
Bronx, NY 10461-2723
Phone (718) 862-5029
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1851525208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 WATERS PL",
"city": "BRONX",
"state": "NY",
"postal_code": "104612723",
"telephone_number": "718-862-5029",
"fax_number": "718-862-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 WATERS PL",
"city": "BRONX",
"state": "NY",
"postal_code": "104612723",
"telephone_number": "718-862-5029",
"fax_number": "718-862-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "MYUNG",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-13",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "037315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.