Active NPI
Jinna Min
- Pharmacist
- Flint, MI
National Provider Identifier
1992210967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302045580
- Practice address
- 2838 E Court St
Flint, MI 48506-4015 - Phone
- (810) 767-3059
- NPI assigned
- Dec 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302045580 | MI | Primary |
Addresses
Primary practice location
2838 E Court St
Flint, MI 48506-4015
Mailing address
1351 Winding Ridge Dr Apt 3a
Grand Blanc, MI 48439-7570
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 |
|---|---|---|---|
| 5302045580 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513036800000",
"number": "1992210967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 WINDING RIDGE DR APT 3A",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484397570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2838 E COURT ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485064015",
"telephone_number": "810-767-3059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIN",
"first_name": "JINNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-12",
"last_updated": "2017-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302045580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.