Active NPI
Jeong Min Ym, PHARMD
- Pharmacist
- Mount Pleasant, WI
National Provider Identifier
1831807148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20156-40
- Practice address
- 3807 Spring St
Mount Pleasant, WI 53405-1667 - Phone
- (262) 687-8430
- NPI assigned
- Nov 7, 2022
- 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 | 051.302771 | IL | |
| Pharmacist | 183500000X | 20156-40 | WI | Primary |
Addresses
Primary practice location
3807 Spring St
Mount Pleasant, WI 53405-1667
Mailing address
3807 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-8430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EAD827897949 | Other | WI | BC BS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jeong.min.ym@ascension.org | Direct |
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 |
|---|---|---|---|
| 051.302771 | IL | MD | Pharmacist |
| 20156-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1831807148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3807 SPRING ST",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534051667",
"telephone_number": "262-687-8430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3807 SPRING ST",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534051667",
"telephone_number": "262-687-8430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YM",
"first_name": "JEONG MIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.302771",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "20156-40",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "EAD827897949",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeong.min.ym@ascension.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "work",
"address_1": "3807 Spring St",
"city": "Mount Pleasant",
"state": "WI",
"country_code": "US",
"postal_code": "534051667",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.