Active NPI
Eun Pyung Philip Im, PHARM.D.
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1871992651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH028299
- Practice address
- 1425 Snyder Ave
Philadelphia, PA 19145-2317 - Phone
- (267) 292-9323
- NPI assigned
- Aug 18, 2014
- Sex
- Male
- 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 | RPH028299 | GA | Primary |
Addresses
Primary practice location
1425 Snyder Ave
Philadelphia, PA 19145-2317
Mailing address
7900 Lindbergh Blvd Apt 3301
Philadelphia, PA 19153-2006
Phone (706) 248-2029
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 |
|---|---|---|---|
| RPH028299 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1871992651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 LINDBERGH BLVD APT 3301",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191532006",
"telephone_number": "706-248-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 SNYDER AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191452317",
"telephone_number": "267-292-9323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IM",
"first_name": "EUN PYUNG",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-18",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH028299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.