Active NPI
Hae Kwon Yang, RPH
- Pharmacist
- Millbrae, CA
National Provider Identifier
1508607631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH89389
- Practice address
- 615 Broadway
Millbrae, CA 94030-1909 - Phone
- (650) 697-0166
- NPI assigned
- Jun 3, 2024
- Sex
- Male
- 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 | RPH89389 | CA | Primary |
Addresses
Primary practice location
615 Broadway
Millbrae, CA 94030-1909
Mailing address
2312 Branner Dr Unit a
Menlo Park, CA 94025-6304
Phone (857) 763-8943
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH89389 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1508607631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2312 BRANNER DR UNIT A",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940256304",
"telephone_number": "857-763-8943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 BROADWAY",
"city": "MILLBRAE",
"state": "CA",
"postal_code": "940301909",
"telephone_number": "650-697-0166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "HAE KWON",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-03",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH89389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.