Sungjoon David An · Pharmacist

4657 S Eagle Rd, Meridian, ID 83642-7077

Overview

Sungjoon David An is a Pharmacist practicing in Meridian, Idaho. The National Provider Identifier (NPI) is #1639985484, which was assigned on December 6, 2024, and the registration record was last updated on December 6, 2024. The practitioner's main practice location is at 4657 S Eagle Rd, Meridian, ID 83642-7077; the contact telephone number is 2082729730. The primary taxonomy of Sungjoon David An is Pharmacist (183500000X). Sungjoon David An is licensed to practice in the state of Idaho (#7071442).

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.

Provider Information

NPI 1639985484
Entity Type Individual
Provider Name SUNGJOON DAVID AN
Gender Male
Credential PHARMD
Practice Address 4657 S Eagle Rd
Meridian
ID 83642-7077
Practice Telephone 2082729730
Mailing Address 4514 N Girasolo Ave
Meridian
ID 83646-3391
Mailing Telephone 2088130414
Certification Date 2024-12-06
Enumeration Date 2024-12-06
Last Update Date 2024-12-06
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y183500000XPharmacist7071442ID

Taxonomy Information

Primary Taxonomy

Code 183500000X
Taxonomy Pharmacist
Classification Pharmacist
Grouping Pharmacy Service Providers
Definition: 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]

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Location Information

Street Address 4657 S EAGLE RD
City MERIDIAN
State ID
Zip Code 83642-7077
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Alexis Snapp 4657 S Eagle Rd, Meridian, ID 83642-7077Pharmacist2024-09-02
Albertsons LLC · Albertsons Pharmacy #3065 4657 S Eagle Rd, Meridian, ID 83642Durable Medical Equipment & Medical Supplies2022-05-11
Charles Parker Waddell 4657 S Eagle Rd, Meridian, ID 83642-7077Pharmacist2023-06-27

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Sarah A Mcbride 120 E Calderwood Dr., Meridian, ID 83642Midwife2021-11-19
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Dalin Andros 2020 S Luxury Ln Apta201, Meridian, ID 83642Behavior Technician2024-09-24
Mathew Heindel 1820 S. Eagle Road, Meridian, ID 83642Marriage & Family Therapist2022-09-07
H&H Treatment Programs Inc. H&H Treatment Programs Inc, 1005, E. Franklin Rd., Boise, ID 83642Mental Health Counselor2023-12-19
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Surgical Center of Tvh 1722 S Jade Way, Meridian, ID 83642Ambulatory Surgical Clinic/Center2023-03-22
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Current Physical Therapy Meridian 1020 N. Hickory Ave Unit 3 Ste 115, Meridian, ID 83642Physical Therapy Assistant2023-10-11
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.