Ul Sik Jason Chong, DOCTORATE OF PHARMAC

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP438049 Issued in PA

Practice address

700 East Townshipline Road Ste LL
Havertown, PA 19083

Phone

(215) 525-1100

Fax

(215) 525-1101

NPI assigned

Jun 5, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1851704084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 EAST TOWNSHIPLINE ROAD STE LL",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "215-525-1100",
            "fax_number": "215-525-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 EAST TOWNSHIPLINE ROAD STE LL",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "215-525-1100",
            "fax_number": "215-525-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "UL SIK JASON",
        "name_prefix": "Mr.",
        "credential": "DOCTORATE OF PHARMAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP438049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniyal Chaudhry, PHARMD
• Yevgeny Chernyak, MD
• Child Guidance Resource Centers Inc
• Chin-Suk John Cho, D.C, DACBR, RMSK
• Yoon-Jung Dianna Cho, O.D.
• Larry H Chou, M.D.
• Christiana Care Havertown ASC, LLC
• Kathleen Civitello
• Patricia Ann Clancy, M.D.
• Stacina Elizabeth Clark, LPC

• Pharmacist in Havertown, PA
• Providers in Havertown, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.