Individual provider Active NPI

Yoon J. Kong, PHARMD, BCGP

  • Pharmacist
  • Fairfax, VA
National Provider Identifier
1730746793
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202206506 Issued in VA
Practice address
10580 Arrowhead Dr
Fairfax, VA 22030-7301
Phone
(571) 432-2600
NPI assigned
May 24, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202206506 VA Primary
Geriatric Pharmacist 1835G0303X 018976 VA

Addresses

Primary practice location

10580 Arrowhead Dr
Fairfax, VA 22030-7301

Mailing address

1910 Trumpet CT
Vienna, VA 22182-3358

Other identifiers 2

IdentifierTypeStateIssuer
185772OtherNABP
000000000OtherVAFAIRFAX HEALTH CENTER PHARMACY FORT BELVIOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL yoon.kong@fda.hhs.gov

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0202206506VAMDPharmacist
018976VAMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1730746793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 TRUMPET CT",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10580 ARROWHEAD DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307301",
            "telephone_number": "571-432-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "YOON",
        "middle_name": "J.",
        "credential": "PHARMD, BCGP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202206506",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "VA",
            "license": "018976",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "185772",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAIRFAX HEALTH CENTER PHARMACY FORT BELVIOR",
            "identifier": "000000000",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "yoon.kong@fda.hhs.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "10580 Arrowhead Dr",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220307301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.