MR. JOHN MATTHEW CHUNG (NPI# 1578801882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578801882 |
| Entity Type | Individual |
| Full Name | MR. JOHN MATTHEW CHUNG |
| Credential | RPH |
| Practice Address |
2200 Baseline St Cornelius OR 97113-8618 |
| Practice Telephone | 5033593103 |
| Practice Fax Number | 5033593341 |
| Mailing Telephone | 5033593103 |
| Mailing Fax Number | 5033593341 |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 7544 | OR | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
7544 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164644084 | John Dong Bok Chung | Dentist | 17895 Nw Evergreen Pkwy #130, Beaverton, OR 97006 | 2007-05-02 |
| 1609421452 | John Yearncharn Chung | Dentist | 8754 Garden Grove Blvd, Garden Grove, CA 92844-1251 | 2019-08-08 |
| 1235631425 | John Chung | Behavioral Analyst | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-03-02 |
| 1609297910 | John Youngsong Chung | Hospitalist | 51 N 39th St, Sicu, Philadelphia, PA 19104-2640 | 2014-01-04 |
| 1811108145 | John Jae Young Chung | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2007-05-25 |
| 1073661013 | John Y. Chung | Emergency Medicine | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2007-01-08 |
| 1942363718 | John Chung | Internal Medicine | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1346336708 | John Wilkie Chung | Dentist | 164 Kinman Ave, Ste C, Goleta, CA 93117 | 2006-10-05 |
| 1043304470 | John Chung | Physician Assistant | 9700 De Soto Ave, Chatsworth, CA 91311-4409 | 2006-10-02 |
| 1134224926 | John Wonkook Chung | Internal Medicine | 1450 Parkside Avenue, Suite 5, Trenton, NJ 08638-2949 | 2006-09-14 |
| Street Address |
2200 BASELINE ST |
| City | CORNELIUS |
| State | OR |
| Zip Code | 97113-8618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194751826 | Fred Meyer Stores Inc | Pharmacy | 2200 Baseline St, Cornelius, OR 97113-8618 | 2006-06-24 |
| 1598216475 | Fred Meyer | Clinic/Center | 2200 Baseline St, Cornelius, OR 97113-8618 | 2016-10-17 |
| 1821547787 | Lauren Chun | Pharmacist | 2200 Baseline St, Cornelius, OR 97113-8618 | 2016-10-03 |
| 1184059388 | Ashley Kanda | Pharmacist | 2200 Baseline St, Cornelius, OR 97113-8618 | 2013-09-06 |
| 1154695443 | Rosalyn Huntington | Pharmacist | 2200 Baseline St, Cornelius, OR 97113-8618 | 2012-03-04 |
| 1255604237 | Shannon Kathleen Sims | Pharmacist | 2200 Baseline St, Cornelius, OR 97113-8618 | 2012-02-21 |
| 1811918949 | Sunset Vision Center | Optometrist | 2200 Baseline St, 88, Cornelius, OR 97113-8616 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255748265 | Joshua David Shinoda | Optometrist | 195 N Adair St., Ste E, Cornelius, OR 97113 | 2014-07-22 |
| 1265777445 | Trisstin Colleen Mccallister | Massage Therapist | 1250 Baseline St, Cornelius, OR 97113 | 2012-11-29 |
| 1083929277 | Wal-mart Stores Inc | Technician/Technologist | 220 N Adair, Cornelius, OR 97113 | 2010-08-11 |
| 1720392608 | Darin Closson | Optometrist | 220 N Adair Street, Cornelius, OR 97113 | 2010-08-03 |
| 1235469412 | Heymi Hamlin | Chiropractor | 1250 Baseline St., Cornelius, OR 97113 | 2010-01-11 |
| 1124225842 | Pacific University | Optometrist | 44 North 11th Avenue, Cornelius, OR 97113 | 2007-06-27 |
| 1760550693 | Steven M Hill | Dentist | 926 W Baseline, Cornelius, OR 97113 | 2006-11-30 |
| 1811936362 | Susan A Kass | Nurse Practitioner | 1151 N. Adair Street, Cornelius, OR 97113 | 2006-06-06 |
| 1053367540 | Laura R. Byerly | Family Medicine | 1151 N. Adair St., Cornelius, OR 97113 | 2006-05-26 |
| 1730514902 | Caitlyn Joy Monks | Massage Therapist | 1250 Baseline St, Cornelius, OR 97113 | 2013-09-06 |
| Find all providers in zip 97113 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851955439 | Stephanie Wienkers | Pharmacist | 1151 N Adair St, Cornelius, OR 97113-8900 | 2019-04-29 |
| 1265986061 | John Begert | Pharmacist | 1151 N Adair St, Cornelius, OR 97113-8900 | 2016-08-09 |
| 1992158976 | Katie Steele | Pharmacist | 1151 N Adair St, Cornelius, OR 97113-8900 | 2016-07-14 |
| 1780036863 | Joselyn Benabe | Pharmacist | 1151 N Adair St, Cornelius, OR 97113-8900 | 2016-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194385674 | Joseph Lee Combee | Pharmacist | 4956 Sw Aster St, Corvallis, OR 97333-1367 | 2019-06-17 |
| 1538627377 | Jacquelyn Jessica Lansing | Pharmacist | 33190 Bloomberg Rd, Eugene, OR 97405-9609 | 2019-03-12 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1083119994 | Timothy Warren Evans | Pharmacist | 2714 Harbeck Rd, Grants Pass, OR 97527-5630 | 2018-03-24 |
| 1144737677 | Matthew Ito | Pharmacist | 5805 Sw Delker Rd, Tualatin, OR 97062-7753 | 2018-01-05 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1336662204 | Jenny French | Pharmacist | 9427 Sw Barnes Rd Ste 295, Portland, OR 97225-6652 | 2017-07-21 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1841747649 | Richard Bennett | Pharmacist | 425 Burlwood Ave N, Monmouth, OR 97361-2252 | 2016-09-09 |
| 1316390008 | Timothy L Lichlyter | Pharmacist | 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 | 2016-07-18 |
| Find all providers with the same taxonomy | ||||
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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.