Yanghoon Peter Jeong

Primary specialty

PharmacistTaxonomy code 183500000X

License

82338 Issued in CA

Practice address

1795 E Lugonia Ave
Redlands, CA 92374-2723

Phone

(190) 979-4172

NPI assigned

Sep 27, 2020

Reactivated

Mar 30, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walmart Inc.

  • Community/Retail Pharmacy
  • Rocklin, CA
  • NPI 1508207275
  NPD (past)
• Walmart Inc.

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1601164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1548877285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25278 TAYLOR ST APT A",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543026",
            "telephone_number": "951-966-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 E LUGONIA AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742723",
            "telephone_number": "190-979-4172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5609 Pacific St",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "956773174",
            "country_code": "US",
            "telephone_number": "916-824-0122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEONG",
        "first_name": "YANGHOON",
        "middle_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-27",
        "last_updated": "2026-03-30",
        "certification_date": "2020-12-24",
        "deactivation_date": "2025-03-27",
        "reactivation_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Jenkins, MSN, FNP-C
• Jennifer Cobanov, MD Professional Corporation
• Jennifer Hayhurst Physician Assistant Apc
• Michelle Jensen
• Dongjun Jeong, D.D.S
• Mathew Jerome
• Jessica de la Rosa Licensed Clinical Social Worker, Inc.
• Jesus a Flores D D S
• Jessica Jewett, OTR/L
• Jiensup Kim, M.D. Inc.

• Pharmacist in Redlands, CA
• Providers in Redlands, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.