Healthcare Provider Details

I. General information

NPI: 1487584355
Provider Name (Legal Business Name): HIEJON CHUNG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 E 19TH AVE
DENVER CO
80218-1114
US

IV. Provider business mailing address

9021 E 29TH AVE
DENVER CO
80238-2709
US

V. Phone/Fax

Practice location:
  • Phone: 303-812-2319
  • Fax:
Mailing address:
  • Phone: 303-548-1903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number14096
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: