DR. JUNG EUN GWAK (NPI# 1952721334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952721334 |
| Entity Type | Individual |
| Full Name | DR. JUNG EUN GWAK |
| Credential | PHARM.D. BCPS |
| Practice Address |
549th Hospital Center/bdaach Apo AP 96271-5245 |
| Mailing Address |
Psc 444 Box 1326 Apo AP 96297-0014 |
| Practice Telephone | 3157372637 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH026851 | GA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 0202211518 | VA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PH60434870 | WA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH60434870 | WA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9040-a Fitzsimmons Dr, Madigan Army Medical Center, Tacoma, WA 98431 | 2539681950 |
| Street Address |
549TH HOSPITAL CENTER/BDAACH |
| City | APO |
| State | AP |
| Zip Code | 96271-5245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124686472 | Oscar Christian | Military Health Care Provider | Hospital: Wh3s9a 549 Hc/baach, Unit 15245, Apo, AP 96271 | 2019-06-02 |
| 1740848449 | Samuel Kong Hmong Lo | Dentist | Carius Dental Clinic, Unit 15652, Apo, AP 96271 | 2019-05-29 |
| 1003375924 | Kevin Scott Floyd | Physician Assistant | Camp Humphrey's, Apo, AP 96271 | 2019-03-19 |
| 1780163220 | Gina Wooyoung Paik | Dentist | Hq, 618th Dcas/dentac, Korea, Unit 15652, Apo, AP 96271 | 2018-08-07 |
| 1932687340 | Jennifer Marie Sisson | Military Health Care Provider | 4-2 Arb, Apo, AP 96271 | 2018-07-30 |
| 1356852818 | Allison G White | Optometrist | Bdaach/549th Hospital Center Usag Humphreys Bldg.# 3030, Apo, AP 96271 | 2017-10-23 |
| 1871014902 | Charlie Kim | Dentist | Camp Humphreys, Carius Dental Clinic Bldg 3020, Apo, AP 96271 | 2017-06-28 |
| 1093245656 | Cindy Rosemarie Bowers | Social Worker | Bldg 370 Camp Humphreys, Wh3s9a 549 Hc/baach Unit 15245, Apo, AP 96271 | 2017-06-15 |
| 1376070359 | Daniel Ilwoo Park | General Practice | Building S-555, Apo, AP 96271 | 2017-05-22 |
| 1952836678 | David J Ahn | Student in an Organized Health Care Education/Training Program | Unit 15190 Box Pyongtaek, Apo, AP 96271 | 2017-05-01 |
| Find all providers in zip 96271 | ||||
| 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 |
|---|---|---|---|---|
| 1578795795 | Amanda Knott | Pharmacist | Cmr 402 Box 341, Apo, AE 09180-0004 | 2009-08-21 |
| 1619135324 | Steven Lee Clause | Pharmacist | 1087 Building 601 Ocean Road, Us Army Kwajalein Atoll, Apo, AP 96555-1087 | 2008-05-29 |
| 1962431692 | Heather Lea Davis | Pharmacist | Cmr 427 Box 44, Apo, AE 09630-0001 | 2006-07-03 |
| 1124473012 | Julie Won | Pharmacist | Unit 15244, Apo, AP 96205-5244 | 2016-04-28 |
| 1790921849 | Paul Ray | Pharmacist | Cmr 467, Apo, AE 09096-3541 | 2008-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518345800 | Delilah Kebede | Pharmacist | Psc 490, Box 7667, Fpo, AP 96538-0490 | 2015-05-07 |
Please comment or provide details below to improve the information on DR. JUNG EUN GWAK.
| 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.