JIN SONG (NPI# 1497110225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497110225 |
| Entity Type | Individual |
| Full Name | JIN SONG |
| Practice Address |
311 S Mountain Ave Upland CA 91786-7032 |
| Practice Telephone | 9099810717 |
| Mailing Telephone | 9099810717 |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH 67613 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225589401 | Jin Oh Song | Acupuncturist | 373 N Western Ave Ste 11, Los Angeles, CA 90004-2616 | 2016-10-21 |
| 1275691842 | Jin Song | Dentist | 2529 Windward Way, Chula Vista, CA 91914-4526 | 2006-12-05 |
| 1558453431 | Jin Wook Song | Dentist | 35761 Sayre Rd, Carthage, NY 13619-8522 | 2006-09-29 |
| 1679903801 | Jin Song | Registered Nurse | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2013-11-25 |
| 1710266341 | Jin Wha Song | Pharmacist | 1 Baxter Pkwy, Deerfield, IL 60015-4625 | 2011-08-13 |
| 1720312531 | Jin Song | Internal Medicine | 540 Litchfield St, Torrington, CT 06790-6679 | 2009-09-25 |
| Street Address |
311 S MOUNTAIN AVE |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-7032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841232659 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 311 S Mountain Ave, Upland, CA 91786-7032 | 2006-06-13 |
| 1770094328 | Nisha Patel | Pharmacist | 311 S Mountain Ave, Upland, CA 91786-7032 | 2017-10-22 |
| 1134573553 | Katherine Fernandez | Pharmacist | 311 S Mountain Ave, Upland, CA 91786-7032 | 2016-04-21 |
| 1922462381 | Phoebie Ngo | Pharmacist | 311 S Mountain Ave, Upland, CA 91786-7032 | 2016-04-11 |
| 1881055887 | Dong Mei Li-bernardo | Pharmacist | 311 S Mountain Ave, Upland, CA 91786-7032 | 2016-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| 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 |
|---|---|---|---|---|
| 1083235121 | Linda Lam Vuu | Pharmacist | 1100 San Bernardino Rd, Upland, CA 91786-4952 | 2020-04-29 |
| 1205473337 | Komal Chinmay Patel | Pharmacist | 1320 Kendra Ln, Upland, CA 91784-9270 | 2019-12-09 |
| 1205496734 | Savitri Modi | Pharmacist | 2363 Vineyard St, Upland, CA 91786-3570 | 2019-06-17 |
| 1033673041 | Megan Chan | Pharmacist | 954 W Foothill Blvd Ste D, Upland, CA 91786-3782 | 2019-01-23 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1235657792 | Moom Rahman Roosan | Pharmacist | 242 Settlers Rd, Upland, CA 91786-8148 | 2017-09-05 |
| 1457890360 | Alex Jarmin | Pharmacist | 1586 Bayport Hbr, Upland, CA 91786-1107 | 2017-02-13 |
| 1497293690 | Edwin C Chan | Pharmacist | 1235 W 18th St, Upland, CA 91784-1537 | 2017-02-08 |
| 1174928337 | Sheerali Patel | Pharmacist | 141 W Foothill Blvd Ste B, Upland, CA 91786-8705 | 2014-10-30 |
| 1932444346 | Jennifer Diem Tran | Pharmacist | 183 Armstrong Way Apt A, Upland, CA 91786-6343 | 2012-12-11 |
| Find all providers in UPLAND | ||||
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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.