Hyejeong Eom, PHARM D

Individual provider Active NPI Pharmacist · New Canaan, CT

NPI 1831635960 · NPPES record last updated Jan 12, 2017

Key facts

NPI
1831635960
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PCT.0013889 (CT)
Practice address
36 Pine St
New Canaan, CT 06840-5430
Phone
(203) 801-0121
NPI assigned
Jan 12, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PCT.0013889CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past
since Feb 27, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0013889 CT Yes

Addresses

Primary practice location

36 Pine St
New Canaan, CT 06840-5430

Mailing address

36 Pine St
New Canaan, CT 06840-5430
Phone (203) 801-0121

Other providers in New Canaan, CT

All providers in New Canaan, CT · Pharmacist in Connecticut

Sources for this page

Verify at the official NPI Registry.