Individual provider Active NPI

Jane Jang, PHARMD

  • Pharmacist
  • New Haven, CT
National Provider Identifier
1407475213
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0015476 Issued in CT
Practice address
1450 Chapel St
New Haven, CT 06511-4405
Phone
(203) 789-4076
NPI assigned
Apr 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051302042 IL
Pharmacist 183500000X 0015476 CT Primary

Addresses

Primary practice location

1450 Chapel St
New Haven, CT 06511-4405

Mailing address

2 Washington Ave Apt 521
New Haven, CT 06519-1653
Phone (224) 616-0582

Other practice location 1

805 S Dixie Hwy
Hoopeston, IL 60942-1939
Phone (217) 283-7225

Other identifiers 1

IdentifierTypeStateIssuer
371414552050MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://cvs.cloud.infor.com/SSOError.jsp#
Direct Messaging Address jane.jang@ynhh.org Health Information Exchange (HIE)

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0015476CTMDPharmacist
051302042ILMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1407475213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WASHINGTON AVE APT 521",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191653",
            "telephone_number": "224-616-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114405",
            "telephone_number": "203-789-4076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Hoopeston",
            "state": "IL",
            "postal_code": "609421939",
            "country_code": "US",
            "telephone_number": "217-283-7225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANG",
        "first_name": "JANE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-11",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051302042",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0015476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371414552050",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://cvs.cloud.infor.com/SSOError.jsp#",
            "affiliation": "N",
            "address_1": "805 S Dixie Hwy",
            "city": "Hoopeston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609421939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jane.jang@ynhh.org",
            "affiliation": "N",
            "endpointDescription": "Yale New Haven Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1450 Chapel St",
            "city": "New Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065114405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.