Active NPI
Johnny Kin Man Hung, RPH
- Pharmacist
- Hackensack, NJ
National Provider Identifier
1962720086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03163200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4347307 | Medicaid | NJ |
Other names 1
- Dr. Kin Man Johnny Hung
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03163200 | NJ | MD | Pharmacist |
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.