Active NPI
Yoon J. Kong, PHARMD, BCGP
- Pharmacist
- Fairfax, VA
National Provider Identifier
1730746793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202206506
- Practice address
- 10580 Arrowhead Dr
Fairfax, VA 22030-7301 - Phone
- (571) 432-2600
- NPI assigned
- May 24, 2019
- Last updated
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185772 | Other | NABP | |
| 000000000 | Other | VA | FAIRFAX HEALTH CENTER PHARMACY FORT BELVIOR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202206506 | VA | MD | Pharmacist |
| 018976 | VA | MD | Geriatric 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.