Hun Hee Jeong
Individual provider Active NPI Pharmacist · Ripon, CA
NPI 1093330474 · NPPES record last updated Jun 11, 2020
Key facts
- NPI
- 1093330474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 79790 (CA)
- Practice address
- 102 N Jack Tone Rd
Ripon, CA 95366-9513 - Phone
- (209) 599-1639
- NPI assigned
- Jun 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79790 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 79790 | CA | Yes |
Addresses
Primary practice location
102 N Jack Tone Rd
Ripon, CA 95366-9513
Mailing address
4416 Precissi LN Apt 40
Stockton, CA 95207-6234
Phone (408) 497-6493
Other providers in Ripon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.