Individual provider Active NPI

Young Il Kwon, PHARM.D.

  • Pharmacist
  • Ewing, NJ
National Provider Identifier
1093029944
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03044500 Issued in NJ
Practice address
1700 N Olden Ave
Ewing, NJ 08638-3102
Phone
(609) 896-9089
NPI assigned
Aug 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03044500 NJ Primary

Addresses

Primary practice location

1700 N Olden Ave
Ewing, NJ 08638-3102

Mailing address

91 Morgan PL
East Brunswick, NJ 08816-5008
Phone (732) 651-0069

Other names 1

  • Dr. Young Il Kwon Other name

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

LicenseStateTypeSpecialty
28RI03044500NJMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1093029944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MORGAN PL",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165008",
            "telephone_number": "732-651-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N OLDEN AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086383102",
            "telephone_number": "609-896-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "YOUNG IL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03044500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOUNG",
            "last_name": "KWON",
            "middle_name": "IL",
            "prefix": "DR.",
            "credential": "PHARM.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.