Healthcare Provider Details

I. General information

NPI: 1295935450
Provider Name (Legal Business Name): ELISA JIHYUN CHOI PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 MATTHEWS TOWNSHIP PKWY UNIT F4-F5
MATTHEWS NC
28105-4659
US

IV. Provider business mailing address

1811 MATTHEWS TOWNSHIP PKWY
MATTHEWS NC
28105-4659
US

V. Phone/Fax

Practice location:
  • Phone: 704-531-2626
  • Fax: 704-531-2161
Mailing address:
  • Phone: 704-877-9642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number17816
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: