Jea Yeon Shin, is a
Pharmacist based in Lake Ridge, Virginia. Jea Yeon Shin is licensed to practice in Virginia (license number 0202205854) and her current practice location is
12445 Hedges Run Dr, Lake Ridge, Virginia. She can be reached at her office (for appointments etc.) via phone at
(703) 491-7694.
NPI number for Jea Yeon Shin is 1891396735 and her current mailing address is 12445 Hedges Run Dr, Lake Ridge, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891396735.
Healthcare Provider's Profile
Full Name | Jea Yeon Shin |
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Gender | Female |
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Speciality | Pharmacist |
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Location | 12445 Hedges Run Dr, Lake Ridge, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891396735
- Provider Enumeration Date: 11/06/2020
- Last Update Date: 11/06/2020
Medical Identifiers
Medical identifiers for Jea Yeon Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891396735 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 0202205854 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jea Yeon Shin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jea Yeon Shin, 12445 Hedges Run Dr, Lake Ridge, VA 22192-1715 Ph: (703) 491-7694 | Jea Yeon Shin, 12445 Hedges Run Dr, Lake Ridge, VA 22192-1715 Ph: (703) 491-7694 |
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