Active NPI
Jin S. Jang
- Pharmacist
- Plymouth Meeting, PA
National Provider Identifier
1366891673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP045348L
- Practice address
- 4000 Chemical Rd
Ste #100
Plymouth Meeting, PA 19462-1708 - Phone
- (800) 548-9903
- Fax
- (610) 941-0742
- NPI assigned
- Jun 7, 2016
- 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 | RP045348L | PA | Primary |
Addresses
Primary practice location
4000 Chemical Rd
Ste #100
Plymouth Meeting, PA 19462-1708
Mailing address
4000 Chemical Rd
Ste #100
Plymouth Meeting, PA 19462-1708
Phone (800) 548-9903
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 |
|---|---|---|---|
| RP045348L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1366891673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 CHEMICAL RD",
"address_2": "STE #100",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621708",
"telephone_number": "800-548-9903",
"fax_number": "610-941-0742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CHEMICAL RD",
"address_2": "STE #100",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621708",
"telephone_number": "800-548-9903",
"fax_number": "610-941-0742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANG",
"first_name": "JIN",
"middle_name": "S.",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP045348L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.