Jaeyoung Joo

Primary specialty

PharmacistTaxonomy code 183500000X

License

2020029160 Issued in MO

Practice address

890 Washington Cors
Washington, MO 63090-4603

Phone

(636) 239-7483

NPI assigned

Jan 1, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1255929634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 LINDELL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 WASHINGTON CORS",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904603",
            "telephone_number": "636-239-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOO",
        "first_name": "JAEYOUNG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-01",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2020029160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon P. Lebsack, D.D.S., P.C.
• Daniel Donovan Jones, D.O.
• Georgia Jones, M.D.
• Ivy Nicole Jones, SLP
• Timothy G Jones, M.A.
• Dana L Kampschroeder, LPC
• Zeina Karam, MD
• Jerry Karr, DO
• Kathy J. Lentz, M.D. Dba Washington Eye Surgeons
• Charles Edward Keefe, M.D.

• Pharmacist in Washington, MO
• Providers in Washington, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2021; 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.