Jeong-Ah Kang

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.293983 Issued in IL

Practice address

4830 Grand Ave
Gurnee, IL 60031-2618

Phone

(847) 662-2585

NPI assigned

Sep 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Walgreen Co

  • Pharmacy
  • Gurnee, IL
  • NPI 1306852785
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Kenosha, WI
  • NPI 1760497812
  NPD (past)

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

{
    "created_epoch": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1215210398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CONSTITUTION CT",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611103",
            "telephone_number": "847-918-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312618",
            "telephone_number": "847-662-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "JEONG-AH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-24",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15397-040",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.293983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kadushin, APRN, FNP
• Mohammad Waseem Kagzi, MD
• Megan Gregory Kahue, PA-C
• Amit Deep Kalra, M.D.
• Leslie Ann Kalvass, PHARMD
• Narendrakumar A Kapadia, M.D.
• Gary Curtis Kaplan, D.D.S.
• Mark E Kaplan, MD
• Hayriye Guzin Kaptan, DT
• Kari Crawford DC

• Pharmacist in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.