Suju Enterprise Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010077 Issued in GA

Legal business name

SUJU ENTERPRISE INC

Doing business as

hana pharmacy

Practice address

3585 Peachtree Industrial Blvd Ste 158
Duluth, GA 30096-6370

Phone

(727) 667-4692

Fax

(678) 878-2446

NPI assigned

Oct 14, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ja Young KongkimNPI 1932517257

Title

President

Phone

(678) 878-2445

Specialties & licenses 1

Addresses

Other names 1

• hana pharmacy Doing business as

Tax ID family

Hana Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Suju Enterprise Inc.

  • Community/Retail Pharmacy
  • Duluth, GA
  • NPI 1528426657
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ja Young Kongkim

  • Pharmacist
  • Duluth, GA
  • NPI 1932517257
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1073917449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 PEACHTREE INDUSTRIAL BLVD STE 158",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966370",
            "telephone_number": "727-667-4692",
            "fax_number": "678-878-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 PEACHTREE INDUSTRIAL BLVD STE 158",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966370",
            "telephone_number": "727-667-4692",
            "fax_number": "678-878-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUJU ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "KONGKIM",
        "authorized_official_first_name": "JA YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-878-2445"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hana pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Stephen A Sudler, MD
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• Chanhee Suh, PHARMACIST
• Aaron F Sui, L.AC.
• Suju Enterprise Inc.
• Nuredin A Sule
• Summit Surgery Center of Duluth
• Jimin Sun
• Kyung-Hwa Sun

• Community/Retail Pharmacy in Duluth, GA
• Providers in Duluth, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.