Active NPI
Hae Roh
- Pharmacotherapy Pharmacist
- Lakewood, CA
National Provider Identifier
1073901914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 40158
- Practice address
- 5818 Bellflower Blvd
Lakewood, CA 90713-1058 - Phone
- (562) 866-5795
- Fax
- (562) 866-0257
- NPI assigned
- Dec 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 40158 | CA | Primary |
Addresses
Primary practice location
5818 Bellflower Blvd
Lakewood, CA 90713-1058
Mailing address
5818 Bellflower Blvd
Lakewood, CA 90713-1058
Phone (562) 866-5795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40158 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Younghae Pharmacy Inc | Current | Accepting new patients |
Locations
5818 Bellflower Blvd
Lakewood, CA 90713
Phone (562) 866-5795
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Lakewood, CA
- NPI 1972515195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488758400000",
"number": "1073901914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5818 BELLFLOWER BLVD",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907131058",
"telephone_number": "562-866-5795",
"fax_number": "562-866-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5818 BELLFLOWER BLVD",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907131058",
"telephone_number": "562-866-5795",
"fax_number": "562-866-0257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROH",
"first_name": "HAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-30",
"last_updated": "2017-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "40158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.