Active NPI
Hyo Jung J Kim, PHARM-D
- Pharmacist
- Fair Lawn, NJ
National Provider Identifier
1033492137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02956700
- Practice address
- 17-77 River Rd
Fair Lawn, NJ 07410-1205 - Phone
- (201) 796-1142
- Fax
- (201) 796-5909
- NPI assigned
- Sep 25, 2011
- Last updated
- Sep 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 28RI02956700 | NJ | Primary |
Addresses
Primary practice location
17-77 River Rd
Fair Lawn, NJ 07410-1205
Mailing address
4 Carol LN
Tappan, NY 10983-2127
Phone (201) 796-1142
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02956700 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316908800000",
"number": "1033492137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CAROL LN",
"city": "TAPPAN",
"state": "NY",
"postal_code": "109832127",
"telephone_number": "201-796-1142",
"fax_number": "201-796-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17-77 RIVER RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101205",
"telephone_number": "201-796-1142",
"fax_number": "201-796-5909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HYO JUNG",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "PHARM-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-25",
"last_updated": "2011-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02956700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.