Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801494380 Individual Practitioner Female Practitioner

Eun Joo Song

Pharmacist • Kenosha, WI

Professional Overview & Biography Verified Profile Summary

Eun Joo Song is a registered healthcare professional specializing in Pharmacist in Kenosha, WI. Practice services are available at 3500 BRUMBACK BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3500 Brumback Blvd

Kenosha, WI 531444816

Telephone 7735021004
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1538186671

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Kenosha, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
86 Specialists

Practicing in Kenosha, WI (5503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-15
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 17834-40

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Sharon Joseph

Pharmacist

NPI 1265030944
NPI 1649879925

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 15, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2020

Registered at 3500 BRUMBACK BLVD, KENOSHA, WI 531444816 (Tel: 7735021004)

📍
Updated Business Mailing Address October 15, 2020

Registered at 3500 BRUMBACK BLVD, KENOSHA, WI 531444816 (Tel: 2626521458)

👤
Provider Name / Credentials Updated October 15, 2020

Recorded as EUN JOO SONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2020

Pharmacist (License #17834-40 in WI)

🟢
Initial NPI Registration & Enumeration October 15, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801494380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2020
Last Update: October 15, 2020
Sole Proprietor: Yes

Mailing Address

3500 Brumback Blvd

Kenosha, WI 531444816

Phone: 2626521458

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.