Jill Marie Koerner, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02157000 Issued in NJ

Practice address

207 Broad Ave
Palisades Park, NJ 07650-1508

Phone

(201) 944-0863

NPI assigned

Mar 6, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Dev DC Inc.

  • Long Term Care Pharmacy
  • Palisades Park, NJ
  • NPI 1407739501
  NPD (past)
• Dev DC Inc.

  • Pharmacy
  • Palisades Park, NJ
  • NPI 1619017555
  NPD (past)

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1629570502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HILLOCK AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075063441",
            "telephone_number": "973-238-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BROAD AVE",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501508",
            "telephone_number": "201-944-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERNER",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02157000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seung Hee Kim
• Steven Kim, DMD
• Sungsik Kim, D.C.
• Yeonju Kim
• Yoonjoo Kim, M.D.
• Ashley Kwak
• Soochung Karen Kwak, D.M.D.
• Mun Hyuk Kwon, PIC
• Tiffany Lamb
• Banghun Lee, DDS

• Pharmacist in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.