Jae Woo Jeon, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

038065 Issued in NY

Practice address

802 Nostrand Ave
Brooklyn, NY 11216-4204

Phone

(718) 604-2585

Fax

(718) 604-2587

NPI assigned

Jan 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

Practice roles

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.

• Phamco Drugs Inc.

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1124316815
  NPD (past)

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

{
    "created_epoch": "1200700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1144406281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 RICHMOND HILL RD APT 3H",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147807",
            "telephone_number": "646-322-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164204",
            "telephone_number": "718-604-2585",
            "fax_number": "718-604-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEON",
        "first_name": "JAE WOO",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-19",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "038065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Jensen
• Tyler Allan Jensen
• Luke Jenusaitis, MD
• Angela Jeon, LAC.
• Bo Jeon, MA, MT-BC
• Jiyoun Jeon
• Eunjoo Jeong, NP
• Evelyn Jeong
• Jordan Mitchell Jeong, D.O
• Joseph Jeong

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.