Jane Star Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00718000 Issued in NJ

Legal business name

JANE STAR CORPORATION

Doing business as

Star Pharmacy

Practice address

1400 Anderson Ave
Unit 7
Fort Lee, NJ 07024-4405

Phone

(201) 224-8877

Fax

(201) 224-8871

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Kyong Il YuNPI 1306082813

Title

Owner/Cheif Pharmacist

Phone

(201) 224-8877

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• STAR PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyong Il Yu, RPH

  • Pharmacist
  • Fort Lee, NJ
  • NPI 1306082813
  NPD (past) Authorized official
• Jisup Han, PHARMACIST

  • Pharmacist
  • Norwood, NJ
  • NPI 1467035691
  NPD (past)
• Hyewon Park

  • Pharmacist
  • Fort Lee, NJ
  • NPI 1235846320
  NPD (past)
• Shul Hyung Park, R.PH

  • Pharmacist
  • Fort Lee, NJ
  • NPI 1366793705
  NPD (past)
• Huiyoun Song

  • Pharmacist
  • Fort Lee, NJ
  • NPI 1447070768
  NPD (past)

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1497020242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 ANDERSON AVE",
            "address_2": "UNIT 7",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244405",
            "telephone_number": "201-224-8877",
            "fax_number": "201-224-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ANDERSON AVE",
            "address_2": "UNIT 7",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244405",
            "telephone_number": "201-224-8877",
            "fax_number": "201-224-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE STAR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "KYONG IL",
        "authorized_official_title_or_position": "OWNER/CHEIF PHARMACIST",
        "authorized_official_telephone_number": "201-224-8877"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00718000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3198555",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alvin Charles Jacobs, DDS
• Lloydine J. Jacobs, MD
• Paul Jacobs, PH.D.
• Jacqueline Kim Szabo, LCSW LLC
• Jamie Diament-Golub, DMD PC
• Eunjeong Jang
• Sungkoo Jang, DDS
• Ye Jin Jang, BCBA
• Jeffrey M. Ahn, M.D., P.C.
• Jonathane Soo Jeon, D.D.S.

• Community/Retail Pharmacy in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.