Heymin Jeong, RPH, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RI04307700 Issued in NJ

Practice address

300 Main St
Keansburg, NJ 07734-2033

Phone

(732) 769-5550

NPI assigned

Jun 21, 2023

Sex

Male

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

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Drugsmart Pharmacy LLC

  • Long Term Care Pharmacy
  • Keansburg, NJ
  • NPI 1699598763
  NPD
• Drugsmart Pharmacy LLC

  • Community/Retail Pharmacy
  • Keansburg, NJ
  • NPI 1164736914
  NPD (past)

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1730864117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COLONIAL DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077342033",
            "telephone_number": "732-769-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "HEYMIN",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RI04307700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Chanel Harding, MS, BCBA, NJ-LBA
• Colleen Harrell, LCSW
• Innovative Pain Management, LLC
• Roxie J Jackson, PTA
• Ricky Ricardo Jamison Jr.
• Trivikram Kanumuri
• Susan M Karl, PHYSICAL THERAPIST
• Keansburg Family Dental, LLC
• Keansburg School District
• Keansburg Wellness Center LLC

• Community/Retail Pharmacy in Keansburg, NJ
• Providers in Keansburg, 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 Jun 21, 2023; 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.