Hana Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

0201003834 Issued in VA

Legal business name

HANA PHARMACY, INC.

Doing business as

Hana Pharamacy

Practice address

11200 Fairfax Blvd.
Fairfax, VA 22030

Phone

(703) 273-9010

Fax

(703) 273-9014

NPI assigned

Jul 23, 2006

Last updated

Nov 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mi-Kyung Kong

Title

President/Pic

Phone

(703) 273-9010

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hana Pharamacy Doing business as

Medicare fee-for-service enrollment

Enrolled in VA, DC2 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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heedo Kong

  • Pharmacist
  • Ellicott City, MD
  • NPI 1497622963
  NPD

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1750303616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 FAIRFAX BLVD.",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-273-9010",
            "fax_number": "703-273-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 FAIRFAX BLVD.",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-273-9010",
            "fax_number": "703-273-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANA PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "MI-KYUNG",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "703-273-9010"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201003834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008519641",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hana Pharamacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hana Pharamacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela E. Han, PHARMD, BCOP
• Devon Suyun Han, FNP
• John Han, D.D.S.
• Myunghee Han
• Seyoung Han, PA-C
• Munira Hanaffi
• Lisa Romeo Hanback, FNP-BC
• Kendall Hancock, MD
• Samantha Hancock, PA-C
• Hand and Upper Extremity Rehab, LLC

• Pharmacy in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.