Individual provider Active NPI

Jennifer J Hong, PHARM D

  • Pharmacist
  • Johns Creek, GA
National Provider Identifier
1871863399
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051291531 Issued in IL
Practice address
11305 Bell Rd
Ste 107
Johns Creek, GA 30097-9503
Phone
(678) 835-9997
Fax
(678) 835-9721
NPI assigned
Jan 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03390900 NJ
Pharmacist 183500000X 19127 AL
Pharmacist 183500000X 71886 TX
Pharmacist 183500000X RPH025358 GA
Pharmacist 183500000X PST021424 LA
Pharmacist 183500000X RP0009469 WV
Pharmacist 183500000X 018285 KY
Pharmacist 183500000X T14136 MS
Pharmacist 183500000X 39819 TN
Pharmacist 183500000X R15955 OK
Pharmacist 183500000X 14803 NE
Pharmacist 183500000X 0202213565 VA
Pharmacist 183500000X 051291531 IL Primary

Addresses

Primary practice location

11305 Bell Rd
Ste 107
Johns Creek, GA 30097-9503

Mailing address

1585 Prospect Rd
Lawrenceville, GA 30043-2838
Phone (224) 234-4511

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

LicenseStateTypeSpecialty
14803NEMDMental Health Counselor
19127ALMDPharmacist
RPH025358GAMDPharmacist
051291531ILMDPharmacist
018285KYMDPharmacist
PST021424LAMDPharmacist
T14136MSMDPharmacist
28RI03390900NJMDPharmacist
R15955OKMDPharmacist
39819TNMDPharmacist
71886TXMDPharmacist
0202213565VAMDPharmacist
RP0009469WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eli Pharmacy Corporation CurrentSince Mar 1, 2023 Accepting new patients
Ga Central Rehab Clinic LLC Current Accepting new patients
House of Hope and Healing Inc. Current Accepting new patients

Locations

11305 Bell Rd
Ste 107
Johns Creek, GA 30097
Phone (678) 835-9997

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1871863399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 PROSPECT RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432838",
            "telephone_number": "224-234-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11305 BELL RD",
            "address_2": "STE 107",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300979503",
            "telephone_number": "678-835-9997",
            "fax_number": "678-835-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03390900",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "19127",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "71886",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH025358",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST021424",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0009469",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "018285",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "T14136",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "39819",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "R15955",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "14803",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202213565",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051291531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.