Active NPI
Jung Hoon Yoon
- Pharmacist
- Lynnwood, WA
National Provider Identifier
1306110473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00041223
- Practice address
- 17414 Highway 99 Ste 100
Lynnwood, WA 98037-9243 - Phone
- (425) 741-0075
- Fax
- (425) 741-0083
- NPI assigned
- Mar 6, 2012
- Last updated
- Oct 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | PH00041223 | WA | Primary |
Addresses
Primary practice location
17414 Highway 99 Ste 100
Lynnwood, WA 98037-9243
Mailing address
17414 Highway 99 Ste 100
Lynnwood, WA 98037-3144
Phone (425) 741-0075
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 |
|---|---|---|---|
| PH00041223 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethel Pharmacy Inc | Current | Accepting new patients |
Locations
17414 Highway 99
Ste 100
Lynnwood, WA 98037
Phone (425) 741-0075
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": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382486400000",
"number": "1306110473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17414 HIGHWAY 99 STE 100",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980373144",
"telephone_number": "425-741-0075",
"fax_number": "425-741-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17414 HIGHWAY 99 STE 100",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980379243",
"telephone_number": "425-741-0075",
"fax_number": "425-741-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "JUNG HOON",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-06",
"last_updated": "2013-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00041223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.