Active NPI
Kwang Jin Hwang
- Pharmacist
- Garden Grove, CA
National Provider Identifier
1700236957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH66445
- Practice address
- 9914 Garden Grove Blvd
Garden Grove, CA 92844-1645 - Phone
- (714) 740-7111
- Fax
- (714) 733-7030
- NPI assigned
- Jun 20, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | RPH66445 | CA | Primary |
Addresses
Primary practice location
9914 Garden Grove Blvd
Garden Grove, CA 92844-1645
Mailing address
9914 Garden Grove Blvd
Garden Grove, CA 92844-1645
Phone (714) 740-7111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH66445 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Pharmacy Plus Inc | Current | Accepting new patients |
Locations
1012 N Euclid St
Anaheim, CA 92801
Phone (714) 956-3741
9914 Garden Grove Blvd
Garden Grove, CA 92844
Phone (714) 740-7111
Organizations & group practices 1
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
- Garden Grove, CA
- NPI 1487208534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1700236957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9914 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441645",
"telephone_number": "714-740-7111",
"fax_number": "714-733-7030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9914 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441645",
"telephone_number": "714-740-7111",
"fax_number": "714-733-7030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "KWANG JIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-20",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH66445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.