| NPI | 1083690911 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-12-22 |
| Last Updated | 2011-06-03 |
| Authorized Official | Hyungwon Kang OWNER PIC Phone: 7706220688 |
| Mailing Address | 2550 Pleasant Hill Rd # Build100, Ste 126 Duluth, GA 30096-4122 United States Phone: (770) 622-0688 | Fax: (770) 622-0689 📍 View Map |
| Primary Practice Address | 2550 Pleasant Hill Rd # Build100, Ste 126 Duluth, GA 30096-4122 United States Phone: (770) 622-0688 | Fax: (770) 622-0689 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 1153864 | NCPDP Provider Identification Number |
| MEDICAID | GA | 422771904A | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | GA | PHRE008994 |
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About NPI 1083690911
Hyungwon Kang is an organization registered in the CMS NPPES NPI Registry with NPI number 1083690911. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Duluth, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-12-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083690911?
NPI 1083690911 belongs to Hyungwon Kang, a Pharmacy, Community/Retail Pharmacy in Duluth, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083690911 active?
The current status of NPI 1083690911 in the NPPES registry is Active. The record was last updated on 2011-06-03.
What specialty is NPI 1083690911?
NPI 1083690911 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083690911?
You can verify NPI 1083690911 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083690911?
The primary practice address on file for NPI 1083690911 is 2550 Pleasant Hill Rd # Build100, Duluth, GA 30096-4122. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083690911 issued?
NPI 1083690911 was first issued (enumerated) on 2005-12-22. The NPPES record was last updated on 2011-06-03.
Practice Location Map
Hyungwon Kang is located at 2550 Pleasant Hill Rd # Build100, Duluth, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Hyungwon Kang. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083690911. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PHRE008994 | GA |