Active NPI
Han Gyul Yoo
- Pharmacist
- Lynn, MA
National Provider Identifier
1124664909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH238777
- Practice address
- 65 Boston St
Lynn, MA 01904-2524 - Phone
- (781) 595-5997
- NPI assigned
- Nov 26, 2019
- Last updated
- Nov 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH4307 | HI | |
| Pharmacist | 183500000X | PH238777 | MA | Primary |
Addresses
Primary practice location
65 Boston St
Lynn, MA 01904-2524
Mailing address
21 Cross St
Winthrop, MA 02152-1111
Phone (860) 748-9081
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 781-595-5997 |
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 |
|---|---|---|---|
| PH4307 | HI | MD | Pharmacist |
| PH238777 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1124664909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CROSS ST",
"city": "WINTHROP",
"state": "MA",
"postal_code": "021521111",
"telephone_number": "860-748-9081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 BOSTON ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019042524",
"telephone_number": "781-595-5997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "HAN GYUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-26",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH4307",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH238777",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "781-595-5997",
"affiliation": "N",
"endpointDescription": "phone to the practice lcoation",
"address_1": "65 Boston St",
"city": "Lynn",
"state": "MA",
"country_code": "US",
"postal_code": "019042524",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.