Provider Demographics
NPI:1023871001
Name:JANG, JANET HONG (RPH)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:HONG
Last Name:JANG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 STONINGTON LN APT 4
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1564
Mailing Address - Country:US
Mailing Address - Phone:518-502-3872
Mailing Address - Fax:
Practice Address - Street 1:5173 W TAFT RD
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-2656
Practice Address - Country:US
Practice Address - Phone:518-502-3872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-02
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071339183500000X
NY1071339183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist