JAE YONG MOON PHARM D.
NPI 1477631471
Pharmacist in Stockton, CA

Active since November 01, 2006
7373 WEST LN, STOCKTON, CA 95210(209) 476-3130(209) 476-3716 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jae Yong Moon Pharm D. NPPES

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

JAE YONG MOON PHARM D. (NPI 1477631471) is an individual pharmacist in Stockton, California, licensed in California (48088) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1477631471
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJAE YONG MOONCredential: PHARM D.
Location Address7373 WEST LNStockton, CA 95210-3377
Mailing Address7373 West LnStockton, CA 95210-3377 · (209) 476-3130 · Fax (209) 476-3716
Fax(209) 476-3716
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1477631471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 48088
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.
7373 WEST LN, Stockton, CA 95210

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
7373 WEST LN
STOCKTON, CA 95210
Pediatrics
7373 WEST LN
STOCKTON, CA 95210
Orthopaedic Surgery
7373 WEST LN
STOCKTON, CA 95210
Psychiatry & Neurology (Psychiatry)
7373 WEST LN
STOCKTON, CA 95210
Dietitian, Registered
7373 WEST LN
STOCKTON, CA 95210
Internal Medicine
7373 WEST LN
STOCKTON, CA 95210
Surgery (Vascular Surgery)
7373 WEST LN
STOCKTON, CA 95210
Dermatology
7373 WEST LN
STOCKTON, CA 95210

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 Jae Yong Moon's NPI number?

The NPI number for Jae Yong Moon is 1477631471. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Jae Yong Moon located?

Jae Yong Moon practices at 7373 West Ln, Stockton, CA 95210. The listed phone number is (209) 476-3130.

What is Jae Yong Moon'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 Jae Yong Moon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.