Active NPI
Hyejin Jang
- Pharmacist
- Aldie, VA
National Provider Identifier
1285023929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202213145
- Practice address
- 42025 Village Center PLZ
Aldie, VA 20105-3027 - Phone
- (703) 722-2829
- NPI assigned
- Jan 19, 2015
- Last updated
- Jan 19, 2015
- Sex
- Female
- 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 | 0202213145 | VA | Primary |
Addresses
Primary practice location
42025 Village Center PLZ
Aldie, VA 20105-3027
Mailing address
4695 Deerwatch Dr
Chantilly, VA 20151-2261
Phone (703) 300-7133
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202213145 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1421625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421625600000",
"number": "1285023929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4695 DEERWATCH DR",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201512261",
"telephone_number": "703-300-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42025 VILLAGE CENTER PLZ",
"city": "ALDIE",
"state": "VA",
"postal_code": "201053027",
"telephone_number": "703-722-2829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANG",
"first_name": "HYEJIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-19",
"last_updated": "2015-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202213145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aldie, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.