Active NPI
Yong Eun Song
- Pharmacist
- Dover, DE
National Provider Identifier
1952826406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0005079
- Practice address
- 190 John Hunn Brown Rd
Dover, DE 19901-4708 - Phone
- (302) 730-9101
- Fax
- (302) 730-3756
- NPI assigned
- Aug 6, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24643 | MD | |
| Pharmacist | 183500000X | A1-0005079 | DE | Primary |
Addresses
Primary practice location
190 John Hunn Brown Rd
Dover, DE 19901-4708
Mailing address
190 John Hunn Brown Rd
Dover, DE 19901-4708
Phone (302) 730-9101
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0005079 | DE | MD | Pharmacist |
| 24643 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1952826406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 JOHN HUNN BROWN RD",
"city": "DOVER",
"state": "DE",
"postal_code": "199014708",
"telephone_number": "302-730-9101",
"fax_number": "302-730-3756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 JOHN HUNN BROWN RD",
"city": "DOVER",
"state": "DE",
"postal_code": "199014708",
"telephone_number": "302-730-9101",
"fax_number": "302-730-3756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "YONG EUN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "24643",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0005079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.