K&J Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

K&J PHARMACY LLC

Practice address

455 Livingston St Ste 4
Norwood, NJ 07648-1360

Phone

(201) 272-6224

Fax

(201) 272-6225

NPI assigned

Feb 22, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jisup Han, PHARMDNPI 1467035691

Title

Pharmacist

Phone

(857) 203-1678

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NORWOOD PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jisup Han, PHARMACIST

  • Pharmacist
  • Norwood, NJ
  • NPI 1467035691
  NPD Authorized official
• Kyong Il Yu, RPH

  • Pharmacist
  • Fortlee, NJ
  • NPI 1306082813
  NPD

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1679271233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 LIVINGSTON ST STE 4",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481360",
            "telephone_number": "201-272-6224",
            "fax_number": "201-272-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 LIVINGSTON ST STE 4",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481360",
            "telephone_number": "201-272-6224",
            "fax_number": "201-272-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&J PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "JISUP",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "857-203-1678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF PHARMACY",
            "identifier": "28RS00793600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jisup Han, PHARMACIST
• Mina Han
• J Max Optics, Inc
• JG Medical Services LLC
• Jill Jonas, LCSW
• Wayne Jared Kerness, M.D.
• Malsun Kim
• Natalya Kishkareva, M.D.
• Alison Ku
• LC Medical Care LLC

• Community/Retail Pharmacy in Norwood, NJ
• Providers in Norwood, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.