Active NPI
Hyon Soo Kang, B.S.
- Pharmacist
- Coatesville, PA
National Provider Identifier
1609189232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP044267L
- Practice address
- 320 E Lincoln Hwy
Coatesville, PA 19320-3410 - Phone
- (610) 384-7022
- NPI assigned
- Jul 25, 2010
- 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 | RP044267L | PA | Primary |
Addresses
Primary practice location
320 E Lincoln Hwy
Coatesville, PA 19320-3410
Mailing address
158 Moorehead Ave
Conshohocken, PA 19428-2928
Phone (215) 859-3558
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP044267L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients | |
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Clearfield, PA
- NPI 1508431081
-
- Community/Retail Pharmacy
- Coatesville, PA
- NPI 1801985536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1609189232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 MOOREHEAD AVE",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282928",
"telephone_number": "215-859-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E LINCOLN HWY",
"city": "COATESVILLE",
"state": "PA",
"postal_code": "193203410",
"telephone_number": "610-384-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "HYON",
"middle_name": "SOO",
"credential": "B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-25",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP044267L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coatesville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.