Active NPI
Ji-Hae Won, PHARM.D.
- Pharmacist
- San Mateo, CA
National Provider Identifier
1053680223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66699
- Practice address
- 191 E 3Rd Ave
San Mateo, CA 94401-4012 - Phone
- (650) 906-0416
- NPI assigned
- Dec 17, 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 | 66699 | CA | Primary |
Addresses
Primary practice location
191 E 3Rd Ave
San Mateo, CA 94401-4012
Mailing address
648 San Antonio Rd
Apt# 101
Palo Alto, CA 94306-4733
Phone (650) 906-0416
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 |
|---|---|---|---|
| 66699 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324080000000",
"number": "1053680223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "648 SAN ANTONIO RD",
"address_2": "APT# 101",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943064733",
"telephone_number": "650-906-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 E 3RD AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944014012",
"telephone_number": "650-906-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WON",
"first_name": "JI-HAE",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-17",
"last_updated": "2011-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "66699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.