Individual provider Active NPI

Mitchell M Yeon, PHARM.D., MBA

  • Pharmacotherapy Pharmacist
  • Bethel, CT
National Provider Identifier
1861609224
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
10487 Issued in CT
Practice address
7 Durant Ave
Bethel, CT 06801-1906
Phone
(203) 794-9500
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 10487 CT Primary
Pharmacotherapy Pharmacist 1835P1200X 28RI03060400 NJ
Pharmacotherapy Pharmacist 1835P1200X I051769-1 NY

Addresses

Primary practice location

7 Durant Ave
Bethel, CT 06801-1906

Mailing address

2 Mountainview Ter
#4203
Danbury, CT 06810-4163
Phone (917) 854-6099

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
Master of Business Administration, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
10487CTMDClinical Social Worker
28RI03060400NJMDPharmacotherapy Pharmacist
I051769-1NYMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1861609224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MOUNTAINVIEW TER",
            "address_2": "#4203",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104163",
            "telephone_number": "917-854-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DURANT AVE",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011906",
            "telephone_number": "203-794-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEON",
        "first_name": "MITCHELL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CT",
            "license": "10487",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NJ",
            "license": "28RI03060400",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NY",
            "license": "I051769-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.