Active NPI
Yujin Hong
- Pharmacist
- Bridgeport, CT
National Provider Identifier
1013402668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0014229
- Practice address
- 4531 Main St
Bridgeport, CT 06606-1846 - Phone
- (203) 372-6538
- Fax
- (844) 411-6470
- NPI assigned
- Jun 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0014229 | CT | Primary |
Addresses
Primary practice location
4531 Main St
Bridgeport, CT 06606-1846
Mailing address
34 Commodore Ave
Shelton, CT 06484-5919
Phone (973) 641-8648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0014229 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stop and Shop Supermarket Co LLC | Past | Accepting new patients | |
| The Stop & Shop Supermarket Company LLC | Past | Accepting new patients | |
| The Stop & Shop Supermarket Company LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Shelton, CT
- NPI 1174555031
-
- Community/Retail Pharmacy
- Bridgeport, CT
- NPI 1386679488
-
- Community/Retail Pharmacy
- Kinnelon, NJ
- NPI 1932570363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630713600000",
"number": "1013402668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 COMMODORE AVE",
"city": "SHELTON",
"state": "CT",
"postal_code": "064845919",
"telephone_number": "973-641-8648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4531 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066061846",
"telephone_number": "203-372-6538",
"fax_number": "844-411-6470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "YUJIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2021-09-04",
"certification_date": "2021-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0014229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.