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JI-YEON SHIN PHARM D
NPI 1053706473
Pharmacist in Fort Campbell, KY

Active since April 02, 2015
650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-8074 Get Directions Write a Review

NPPES record last updated: December 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2021, Nov 22, 2016 (2 updates tracked since 2016).

About Ji-yeon Shin Pharm D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JI-YEON SHIN PHARM D (NPI 1053706473) is an individual pharmacist in Fort Campbell, Kentucky, licensed in Virginia (0202213174) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1053706473
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJI-YEON SHINCredential: PHARM D
Location Address650 JOEL DRFort Campbell, KY 42223-5318
Mailing Address2588 Stone Manor WayClarksville, TN 37043-1517 · (931) 472-5295
Phone(270) 798-8074
Sole ProprietorYes
Enumeration DateApril 2, 2015
Last NPPES UpdateDecember 4, 20212 updates tracked since enumeration
NPPES CertifiedDecember 4, 2021
✔ NPI 1053706473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in VA · 0202213174
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.
650 JOEL DR, Fort Campbell, KY 42223
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA RENEE CORDELL RN
Registered Nurse
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8500
SAMANTHA LYNNE WINDER ATC
Specialist/Technologist (Athletic Trainer)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (435) 650-4301
BLANCHFILED ARMY COMMUNITY HOSPITAL
Military Hospital
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
KATHLEEN MEERA GROFF FNP-BC
Nurse Practitioner
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 956-0451
LINDSAY DAVIS
Counselor (Professional)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-0667
JEFFREY A SANFORD MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
ERIK FLOLO LMSW
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
MARK WILLIAM MCNEELY MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ji-yeon Shin's NPI number?

The NPI number for Ji-yeon Shin is 1053706473. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Ji-yeon Shin located?

Ji-yeon Shin practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 798-8074.

What is Ji-yeon Shin's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Ji-yeon Shin was last updated on December 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.