Individual provider Active NPI

Johnny Kin Man Hung, RPH

  • Pharmacist
  • Hackensack, NJ
National Provider Identifier
1962720086
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03163200 Issued in NJ
Practice address
123 Anderson St
Hackensack, NJ 07601-3503
Phone
(201) 488-0654
Fax
(201) 883-1619
NPI assigned
May 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03163200 NJ Primary

Addresses

Primary practice location

123 Anderson St
Hackensack, NJ 07601-3503

Mailing address

189 Schermerhorn St Apt 12G
Brooklyn, NY 11201-6198
Phone (347) 286-9593

Other identifiers 1

IdentifierTypeStateIssuer
4347307MedicaidNJ

Other names 1

  • Dr. Kin Man Johnny Hung Other name

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI03163200NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1962720086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 SCHERMERHORN ST APT 12G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016198",
            "telephone_number": "347-286-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ANDERSON ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013503",
            "telephone_number": "201-488-0654",
            "fax_number": "201-883-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNG",
        "first_name": "JOHNNY",
        "middle_name": "KIN MAN",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03163200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4347307",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIN MAN",
            "last_name": "HUNG",
            "middle_name": "JOHNNY",
            "prefix": "DR.",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.