Active NPI
Jae Woo Jeon, RPH
- Pharmacist
- Flushing, NY
National Provider Identifier
1144406281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 038065
- Practice address
- 4231 162ND St FL 1
Flushing, NY 11358-4133 - Phone
- (347) 438-1006
- Fax
- (347) 438-1041
- NPI assigned
- Jan 19, 2008
- Last updated
- Oct 16, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 038065 | NY | Primary |
Addresses
Primary practice location
4231 162ND St FL 1
Flushing, NY 11358-4133
Mailing address
11 Ackerman PL Unit B
Palisades Park, NJ 07650-1301
Phone (646) 322-0199
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phamco Drugs Inc. | Past | Accepting new patients |
Organizations & group practices 1
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": "1200700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792108800000",
"number": "1144406281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ACKERMAN PL UNIT B",
"city": "PALISADES PARK",
"state": "NJ",
"postal_code": "076501301",
"telephone_number": "646-322-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4231 162ND ST FL 1",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113584133",
"telephone_number": "347-438-1006",
"fax_number": "347-438-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEON",
"first_name": "JAE WOO",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-19",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "038065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.