Active NPI
Hyon Jung Kang, PHARM.D.
- Pharmacist
- Washington, DC
National Provider Identifier
1417023896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Practice address
- 110 Irving St NW
C1102
Washington, DC 20010-2976 - Phone
- (202) 877-7846
- Fax
- (202) 877-0455
- NPI assigned
- Nov 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17014 | MD | |
| Pharmacist | 183500000X | DC | Primary |
Addresses
Primary practice location
110 Irving St NW
C1102
Washington, DC 20010-2976
Mailing address
12414B Liberty Bridge Rd
Fairfax, VA 22033
Phone (703) 272-3203
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 |
|---|---|---|---|
| 17014 | MD | MD | Pediatric Dentist |
| PH100000188 | DC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417023896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12414B LIBERTY BRIDGE RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22033",
"telephone_number": "703-272-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST NW",
"address_2": "C1102",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102976",
"telephone_number": "202-877-7846",
"fax_number": "202-877-0455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "HYON",
"middle_name": "JUNG",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "17014",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.