Active NPIIndividual provider

Dae Kwon, PHARMD RPH

Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Flushing, New York

NPI Number1538689237
Practice location
14734A Northern Blvd, Flushing, NY 11354-4339
Fax
347-368-6310
Last updated
November 4, 2026

Dae Kwon is a Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Flushing, NY. Dae Kwon practices in Flushing, NY and has the professional credentials of PHARMD RPH. The NPI Number for Dae Kwon is 1538689237 and holds a License No. 28RI04079800 (NJ). The current practice location address for Dae Kwon is 14734A Northern Blvd, Flushing, NY 11354-4339 and can be reached out via phone at 347-368-6226 and via fax at 347-368-6310.

Provider Profile Details

NPI Number
1538689237
Provider Name
Dae Kwon
Credential
PHARMD RPH
Provider Entity Type
Individual
Gender
Male
Address
14734A Northern Blvd, Flushing, NY 11354-4339
Phone Number
347-368-6226
Fax Number
347-368-6310
Sole Proprietor
No
Provider Enumeration Date
June 23, 2017
Last Update Date
November 4, 2026
Certification Date
November 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
14734A Northern Blvd
Flushing, NY 11354-4339
Zip
11354-4339
Phone Number
347-368-6226
Fax Number
347-368-6310
Flushing, NY 11354Get directions →

Provider Business Mailing Address Details

Address
328 13TH St Apt 303
Palisades Park, NJ 07650-2289
City
Palisades Park
State
NJ
Zip
07650-2289
Phone Number
917-881-5947

License Information

License Number (1)
28RI04079800
License State (1)
NJ
License Number (2)
PCT.0013768
License State (2)
CT
License Number (3)
065041
License State (3)
NY

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dae Kwon, PHARMD RPH?

The NPI number of Dae Kwon, PHARMD RPH is 1538689237. It was assigned on June 23, 2017 and is currently active in the NPPES registry.

What is the specialty of Dae Kwon, PHARMD RPH?

Dae Kwon, PHARMD RPH is registered under the primary taxonomy Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (code 1835P0018X), licensed in NJ under license number 28RI04079800.

Where does Dae Kwon, PHARMD RPH practice?

The practice location is 14734A Northern Blvd, Flushing, NY 11354-4339. The office can be reached at 347-368-6226 (phone) or 347-368-6310 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538689237 directly on the NPPES registry website.

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