Oh Family Medicine Group LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010191 Issued in GA

Legal business name

OH FAMILY MEDICINE GROUP LLC

Practice address

10820 Abbotts Bridge Rd Ste 240
Johns Creek, GA 30097-5783

Phone

(470) 223-4775

Fax

(470) 223-4790

NPI assigned

Jun 5, 2015

Organization subpart

No

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

Authorized official

Name

Min Hwan Oh, PHARM.D.NPI 1912316647

Title

Pharmacist

Phone

(470) 223-4775

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• OH Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

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

• Min Hwan Oh, PHARM.D.

  • Pharmacist
  • Johns Creek, GA
  • NPI 1912316647
  NPD Authorized official
• Kyungeun Kim Yim

  • Pharmacist
  • Johns Creek, GA
  • NPI 1578435939
  NPD
• Jungsoo Yoon

  • Occupational Therapist
  • Johns Creek, GA
  • NPI 1144569633
  NPD
• Hyonmok You, D.C.

  • Chiropractor
  • Johns Creek, GA
  • NPI 1265877815
  NPD (past)

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1114307014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 ABBOTTS BRIDGE RD STE 240",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300975783",
            "telephone_number": "470-223-4775",
            "fax_number": "470-223-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 ABBOTTS BRIDGE RD STE 240",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300975783",
            "telephone_number": "470-223-4775",
            "fax_number": "470-223-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OH FAMILY MEDICINE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "MIN HWAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "470-223-4775",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010191",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154813",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003168809A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OH Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OH Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oak Tree Hearing Services LLC
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• Ngozi Ofoedu
• Min Hwan Oh, PHARM.D.
• Veronica Oriako Okwoche, PHD
• Udu Oladeinde
• On-Site Imaging Solutions LLC
• Oneopto Ga 1 PLLC

• Community/Retail Pharmacy in Johns Creek, GA
• Providers in Johns Creek, 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 May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.