Individual ProviderJonathan Jaewoo MoungPharmacistPharmacy Service ProvidersPractice Address1110 Fidler Ln Apt 1423, Silver Spring, MD 20910-3461(347) 831-4485PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Jaewoo Moung does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:31 AM.Profile DetailsProvider ID1366065401Provider TypeIndividualFull NameMoung, Jonathan JaewooCredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date5/23/2020Last Updated5/23/2020Contact InformationPractice LocationPractice Address1110 Fidler Ln Apt 1423, Silver Spring, MD 20910-3461Phone(347) 831-4485FaxUnlisted FaxMailing LocationMailing Address1110 Fidler Ln Apt 1423, Silver Spring, MD 20910-3461Phone(347) 831-4485FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicensePH100002875District of Columbia