JU-SUNG SONG (NPI# 1023411469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023411469 |
| Entity Type | Individual |
| Full Name | JU-SUNG SONG |
| Practice Address |
960 North Ave Bridgeport CT 06606-5750 |
| Practice Telephone | 2033346978 |
| Mailing Telephone | 2033346978 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PCT0012941 | CT | Pharmacy Service Providers |
| Street Address |
960 NORTH AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-5750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285649533 | Walgreen Eastern Co, Inc | Pharmacy | 960 North Ave, Bridgeport, CT 06606-5750 | 2006-07-29 |
| 1033689195 | Ryan Michael Garcia | Pharmacist | 960 North Ave, Bridgeport, CT 06606-5750 | 2018-12-03 |
| 1073883302 | Alok K Bhatt | Pharmacist | 960 North Ave, Bridgeport, CT 06606-5750 | 2012-01-03 |
| 1770868366 | Kelv In W Cole | Pharmacist | 960 North Ave, Walgreens, Bridgeport, CT 06606 | 2011-10-15 |
| 1417239153 | Abraham Kuruvilla | Pharmacist | 960 North Ave, Bridgeport, CT 06606-5750 | 2011-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073162780 | Lauren Mccarthy | Pharmacist | 63 Overlook Dr, Bridgeport, WV 26330-1021 | 2019-09-05 |
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1407391485 | Sangeetha Ravindran | Pharmacist | 978 East Main Street, Bridgeport, CT 06608-4640 | 2016-12-29 |
| 1659734150 | Jignesh Patel | Pharmacist | 2610 E Main St, Briarwoods Shopping Center, Bridgeport, CT 06610-1422 | 2016-04-01 |
| 1811363971 | Victoria Martinez | Pharmacist | 25 Duane Pl, Bridgeport, CT 06610-1125 | 2015-08-12 |
| 1760875660 | Laura Lowther | Pharmacist | 300 West Main St., Bridgeport, WV 26330-1178 | 2015-03-17 |
| 1912312232 | Paige Cloud | Pharmacist | 50452 Al Hwy 277, Bridgeport, AL 35740 | 2014-06-25 |
| 1528486677 | Tonya Jimmie | Pharmacist | 284 Forest Dr, Bridgeport, WV 26330-9535 | 2014-04-04 |
| 1861741654 | Ryan A Bane | Pharmacist | 56130 National Rd, Bridgeport, OH 43912-1529 | 2012-09-07 |
| 1841580909 | Lee Faust | Pharmacist | 6155 Dixie Hwy, Bridgeport, MI 48722-9618 | 2011-04-11 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.