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YONG JAE JEONG
NPI 1174074439
Pharmacist in Great Neck, NY

Active since October 20, 2016
485 GREAT NECK RD, UNIT#1, GREAT NECK, NY 11021(516) 441-5400 Get Directions Write a Review

NPPES record last updated: December 11, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 11, 2022, Oct 20, 2016 (2 updates tracked since 2016).

About Yong Jae Jeong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YONG JAE JEONG (NPI 1174074439) is an individual pharmacist in Great Neck, New York, licensed in New York (I061732) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1174074439
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameYONG JAE JEONG
Location Address485 GREAT NECK RD, UNIT#1Great Neck, NY 11021-4310
Mailing Address485 Great Neck Rd, Unit#1Great Neck, NY 11021-4310
Phone(516) 441-5400
Sole ProprietorNo
Enumeration DateOctober 20, 2016
Last NPPES UpdateDecember 11, 20222 updates tracked since enumeration
NPPES CertifiedDecember 11, 2022
✔ NPI 1174074439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NY · I061732
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
485 GREAT NECK RD, Great Neck, NY 11021
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yong Jae Jeong's NPI number?

The NPI number for Yong Jae Jeong is 1174074439. It was assigned to this individual provider in the NPPES registry on October 20, 2016.

Where is Yong Jae Jeong located?

Yong Jae Jeong practices at 485 Great Neck Rd Unit#1, Great Neck, NY 11021. The listed phone number is (516) 441-5400.

What is Yong Jae Jeong's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Yong Jae Jeong was last updated on December 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.