DR. PIL JAE CHANG (NPI# 1376809319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376809319 |
| Entity Type | Individual |
| Full Name | DR. PIL JAE CHANG |
| Credential | PHARM D. |
| Practice Address |
2000 Clements Bridge Rd Deptford NJ 08096-2016 |
| Practice Telephone | 8563846740 |
| Mailing Telephone | 8563846740 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2018-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI03093700 | NJ | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0193887 | 05 |
| Street Address |
2000 CLEMENTS BRIDGE RD |
| City | DEPTFORD |
| State | NJ |
| Zip Code | 08096-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003848219 | Ulysses Wing Yau | Optometrist | 2000 Clements Bridge Rd, Suite 113, Deptford, NJ 08096-2016 | 2006-07-07 |
| 1083974026 | Cipparone Eye Associates, LLC | Optometrist | 2000 Clements Bridge Rd, Deptford, NJ 08096-2016 | 2012-05-24 |
| 1093086019 | Wal-mart Pharmacy Store 3422 | Clinic/Center | 2000 Clements Bridge Rd, Deptford, NJ 08096-2016 | 2012-01-23 |
| 1588979835 | Divya R Muchintal | Dentist | 2000 Clements Bridge Rd, Deptford, NJ 08096-2011 | 2010-08-11 |
| 1528207198 | Deptford Family Dental Pa | Dentist | 2000 Clements Bridge Rd, Suite 117 A, Deptford, NJ 08096-2011 | 2009-02-05 |
| 1649428921 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 2000 Clements Bridge Rd, Deptford, NJ 08096-2011 | 2008-08-29 |
| 1982880811 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2000 Clements Bridge Rd, Suite 113, Deptford, NJ 08096-2011 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| 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 |
|---|---|---|---|---|
| 1831405398 | Sara Shin | Pharmacist | 860 Cooper St, Deptford, NJ 08096-2598 | 2010-08-23 |
| 1881294684 | Lisa N Sleiminger | Pharmacist | 2000 Clements Bridge Rd Ste 100, Deptford, NJ 08096-2016 | 2020-10-29 |
| 1053910919 | Lauren Ashley Leach | Pharmacist | 860 Cooper St, Deptford, NJ 08096-2598 | 2020-10-21 |
| 1669087011 | Joel Varghese | Pharmacist | 860 Cooper St, Deptford, NJ 08096-2598 | 2020-09-12 |
| 1306393384 | Bridgette Kathryn Remster | Pharmacist | 860 Cooper St, Deptford, NJ 08096-2598 | 2016-09-07 |
| 1427501667 | Alan J Lu | Pharmacist | 860 Cooper St, Deptford, NJ 08096-2598 | 2016-07-24 |
| 1891142113 | Margaret Haferl | Pharmacist | 860 Cooper St, Deptford, NJ 08096-2598 | 2016-05-17 |
| 1922475326 | Ronald Brown IIi | Pharmacist | 1408 Delsea Dr, Deptford, NJ 08096-4101 | 2015-09-01 |
| 1356612477 | Annamarie Amorose | Pharmacist | 820 Cooper St, Deptford, NJ 08096-2598 | 2012-01-20 |
| 1669743951 | Stacy L Digneo | Pharmacist | 820 Cooper St, Deptford, NJ 08096-2598 | 2012-01-19 |
| Find all providers in DEPTFORD | ||||
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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.