Yong W Jeong

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11564 Issued in TX

Legal business name

YONG W JEONG

Practice address

2552 Royal LN
Dallas, TX 75229-3417

Phone

(972) 247-5670

Fax

(972) 247-5670

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Greg Jeong

Title

RPH Lac PHD

Phone

(972) 247-5670

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PHARMACARE DRUG Doing business as

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1962423939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 ROYAL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293417",
            "telephone_number": "972-247-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 ROYAL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293417",
            "telephone_number": "972-247-5670",
            "fax_number": "972-247-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONG W JEONG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "JEONG",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "RPH LAC PHD",
        "authorized_official_telephone_number": "972-247-5670"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "11564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142912",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2096580",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACARE DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yogesh T. Patel D.D.S., PA
• Ahana Yogesh
• Sydney Yogi, PHARMD
• Yolanda Bruce Brooks, Psy.D
• Yolanda Lawson, M.D, P.a
• Sandrine Yongbang
• Daniel Yoo, MD
• Hayoung Yoo
• Heesoo Yoo, MD
• Jamie Jaemin Yoo, LPC

• Community/Retail Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.