Active NPI
Bo Yoon Kang
- Pharmacist
- Silver Spring, MD
National Provider Identifier
1457651945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18209
- Practice address
- 116 University Blvd W
Silver Spring, MD 20901-2440 - Phone
- (301) 593-8092
- NPI assigned
- Oct 30, 2010
- Last updated
- Oct 30, 2010
- 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 | 18209 | MD | Primary |
Addresses
Primary practice location
116 University Blvd W
Silver Spring, MD 20901-2440
Mailing address
4831 Tothill Dr
Olney, MD 20832-1889
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 |
|---|---|---|---|
| 18209 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288396800000",
"number": "1457651945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4831 TOTHILL DR",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 UNIVERSITY BLVD W",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209012440",
"telephone_number": "301-593-8092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "BO",
"middle_name": "YOON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-30",
"last_updated": "2010-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "18209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.