Individual provider Active NPI

Hyo Jung Youn

  • Pharmacist
  • Palisades Park, NJ
National Provider Identifier
1801439104
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04052700 Issued in NJ
Practice address
1A Ackerman PL
Palisades Park, NJ 07650-2841
Phone
(201) 682-1389
NPI assigned
Oct 20, 2019
Last updated
May 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066024 NY
Pharmacist 183500000X 28RI04052700 NJ Primary

Addresses

Primary practice location

1A Ackerman PL
Palisades Park, NJ 07650-2841

Mailing address

1A Ackerman PL
Palisades Park, NJ 07650-2841
Phone (201) 682-1389

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL MicroMerchant

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

LicenseStateTypeSpecialty
28RI04052700NJMDPharmacist
066024NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1571529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1801439104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A ACKERMAN PL",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502841",
            "telephone_number": "201-682-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1A ACKERMAN PL",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502841",
            "telephone_number": "201-682-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUN",
        "first_name": "HYO JUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-20",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "066024",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04052700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MicroMerchant",
            "affiliation": "N",
            "address_1": "310 Fort Lee Rd Ste B",
            "city": "Leonia",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076051859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palisades Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.