Individual provider Active NPI

Dongwha Seo

  • Pharmacist
  • Fresh Meadows, NY
National Provider Identifier
1245638592
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
060071 Issued in NY
Practice address
15846 76TH Ave Apt 1C
Fresh Meadows, NY 11366-1067
Phone
(718) 885-7533
NPI assigned
Dec 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 060071 NY Primary

Addresses

Primary practice location

15846 76TH Ave Apt 1C
Fresh Meadows, NY 11366-1067

Mailing address

15846 76TH Ave Apt 1C
Fresh Meadows, NY 11366-1067
Phone (718) 885-7533

Other names 1

  • Don Seo Other name

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

LicenseStateTypeSpecialty
060071NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1245638592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15846 76TH AVE APT 1C",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661067",
            "telephone_number": "718-885-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15846 76TH AVE APT 1C",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661067",
            "telephone_number": "718-885-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "DONGWHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "060071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DON",
            "last_name": "SEO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.