Seoul Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

036637 Issued in NY

Legal business name

SEOUL PHARMACY INC

Doing business as

Seoul Pharmacy Inc

Practice address

14903 Northern Blvd
Flushing, NY 11354-4342

Phone

(718) 888-0101

Fax

(718) 358-0070

NPI assigned

Apr 19, 2018

Organization subpart

No

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

Authorized official

Name

Hyun Chan ChoNPI 1538537733

Title

Owner/President/Pic/Ao

Phone

(857) 264-9511

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Seoul Pharmacy Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Hyun Chan Cho

  • Pharmacist
  • Flushing, NY
  • NPI 1538537733
  NPD Authorized official
• Seongmin Oh, PHARM. D

  • Pharmacist
  • Flushing, NY
  • NPI 1922694504
  NPD (past)

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1083101505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14903 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544342",
            "telephone_number": "718-888-0101",
            "fax_number": "718-358-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14903 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544342",
            "telephone_number": "718-888-0101",
            "fax_number": "718-358-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEOUL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "HYUN CHAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PIC/AO",
        "authorized_official_telephone_number": "857-264-9511"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "036637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "7696750001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177558",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seoul Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seoul Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeong Seo
• Jung Wook Seo
• Myungyoon Seo
• Su Jin Seo
• Seong Chan Cho Physical Therapy,P.C.
• Carol Lynn Septimus, RD,CDN
• Rodrigo Jose Sequeira, MD
• Serene Feng Acupuncture PC
• Serenity Pharmacy Inc
• Serenity Physical Therapy PC

• Community/Retail Pharmacy in Flushing, NY
• Providers in Flushing, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.