Jennie Kong

Primary specialty

PharmacistTaxonomy code 183500000X

License

048863 Issued in NY

Practice address

329 E 14TH St
New York, NY 10003-4228

Phone

(646) 838-3850

Fax

(212) 208-2574

NPI assigned

Nov 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Stuytown RX LLC

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1780425348
  NPD
• Rite Aid of New York Inc

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1184733099
  NPD (past)
• Rite Aid of New York Inc

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1639288129
  NPD (past)

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

{
    "created_epoch": "1195689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1609057330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034228",
            "telephone_number": "646-838-3850",
            "fax_number": "212-208-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034228",
            "telephone_number": "646-838-3850",
            "fax_number": "212-208-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "JENNIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-22",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01622893",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Kong, M.D.
• Haena Kong, DDS
• Heebae Kong, L.AC
• Helen Kong
• Hongxia Kong, L.AC
• Jerry Fan Kong, MD
• Jinkyeom Kong
• Jiwon Kong
• Justin Hoyin Kong
• Kin Ching Kong, MD

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.