Active NPIIndividual providerSole proprietor

Douglas Chung

Pharmacist in Willimantic, Connecticut

NPI Number1134582703
Practice location
1200 Main St, Willimantic, CT 06226-1908
Fax
860-456-1839
Last updated
April 2, 2016

Douglas Chung is a Pharmacist based in Willimantic, CT. Douglas Chung practices in Willimantic, CT. The NPI Number for Douglas Chung is 1134582703 and holds a License No. PCT.0005939 (CT). The current practice location address for Douglas Chung is 1200 Main St, Willimantic, CT 06226-1908 and can be reached out via phone at 860-456-5931 and via fax at 860-456-1839.

Provider Profile Details

NPI Number
1134582703
Provider Name
Douglas Chung
Provider Entity Type
Individual
Gender
Male
Address
1200 Main St, Willimantic, CT 06226-1908
Phone Number
860-456-5931
Fax Number
860-456-1839
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
March 31, 2016
Last Update Date
April 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 Main St
Willimantic, CT 06226-1908
Zip
06226-1908
Phone Number
860-456-5931
Fax Number
860-456-1839
Willimantic, CT 06226Get directions →

Provider Business Mailing Address Details

Address
1200 Main St
Willimantic, CT 06226-1908
City
Willimantic
State
CT
Zip
06226-1908
Phone Number
860-456-5931
Fax Number
860-456-1869

License Information

License Number
PCT.0005939
License State
CT
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Douglas Chung?

The NPI number of Douglas Chung is 1134582703. It was assigned on March 31, 2016 and is currently active in the NPPES registry.

What is the specialty of Douglas Chung?

Douglas Chung is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number PCT.0005939.

Where does Douglas Chung practice?

The practice location is 1200 Main St, Willimantic, CT 06226-1908. The office can be reached at 860-456-5931 (phone) or 860-456-1839 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134582703 directly on the NPPES registry website.

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