Active NPI
Eun Kyung Jeon, PHARMACIST
- Pharmacist
- Quincy, MA
National Provider Identifier
1396480901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH240707
- Practice address
- 324 Hancock St
Quincy, MA 02171-2258 - Phone
- (617) 471-0517
- NPI assigned
- Apr 28, 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 | PH240707 | MA | Primary |
Addresses
Primary practice location
324 Hancock St
Quincy, MA 02171-2258
Mailing address
33 Gerry Rd
Chestnut Hill, MA 02467-3139
Phone (857) 361-2578
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 |
|---|---|---|---|
| PH240707 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
324 Hancock St
Quincy, MA 02171
Phone (617) 417-0517
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 and National Provider Directory roles.
-
- Pharmacy
- Quincy, MA
- NPI 1386955250
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1396480901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 GERRY RD",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673139",
"telephone_number": "857-361-2578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 HANCOCK ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021712258",
"telephone_number": "617-471-0517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEON",
"first_name": "EUN KYUNG",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-28",
"last_updated": "2022-08-22",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH240707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.