Active NPI
Jenny Hong
- Pharmacist
- Pleasanton, CA
National Provider Identifier
1366742322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51020
- Practice address
- 11555 Dublin Canyon Rd
Pleasanton, CA 94588-2815 - Phone
- (510) 688-0822
- NPI assigned
- Oct 25, 2010
- Last updated
- Jan 24, 2022
- 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 | 51020 | CA | Primary |
Addresses
Primary practice location
11555 Dublin Canyon Rd
Pleasanton, CA 94588-2815
Mailing address
11555 Dublin Canyon Rd
Pleasanton, CA 94588-2815
Phone (510) 688-0822
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 |
|---|---|---|---|
| 51020 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1366742322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11555 DUBLIN CANYON RD",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945882815",
"telephone_number": "510-688-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11555 DUBLIN CANYON RD",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945882815",
"telephone_number": "510-688-0822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "JENNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-25",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "51020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.