Active NPI
Jane Jang, PHARMD
- Pharmacist
- New Haven, CT
National Provider Identifier
1407475213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0015476
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371414552050 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0015476 | CT | MD | Pharmacist |
| 051302042 | IL | MD | Pharmacist |
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.