JEA YEON SHIN
NPI 1891396735
Pharmacist in Lake Ridge, VA

Active since November 06, 2020
12445 HEDGES RUN DR, LAKE RIDGE, VA 22192(703) 491-7694(844) 411-6529 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jea Yeon Shin NPPES

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

JEA YEON SHIN (NPI 1891396735) is an individual pharmacist in Lake Ridge, Virginia, licensed in Virginia (0202205854) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1891396735
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJEA YEON SHIN
Location Address12445 HEDGES RUN DRLake Ridge, VA 22192-1715
Mailing Address12445 Hedges Run DrLake Ridge, VA 22192-1715 · (703) 491-7694 · Fax (844) 411-6529
Fax(844) 411-6529
Sole ProprietorNo
Enumeration DateNovember 6, 2020
NPPES CertifiedNovember 6, 2020
NPI 1891396735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in VA · 0202205854
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.

12445 HEDGES RUN DR, Lake Ridge, VA 22192

Other Providers at the Same Location NPPES 3

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

Pharmacy (Community/Retail Pharmacy)
12445 HEDGES RUN DR
WOODBRIDGE, VA 22192
Pharmacist
12445 HEDGES RUN DR
LAKE RIDGE, VA 22192
Pharmacist
12445 HEDGES RUN DR
LAKE RIDGE, VA 22192

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891396735, enumerated as an "individual" on November 06, 2020.

The provider is located at 12445 HEDGES RUN DR LAKE RIDGE, VA 22192 and the phone number is (703) 491-7694.

Pharmacist with taxonomy code 183500000X.