Active NPI
Seung Yeob Han
- Pharmacist
- Lubbock, TX
National Provider Identifier
1265158141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66040
- Practice address
- 1401 University Ave
Lubbock, TX 79401-3611 - Phone
- (713) 822-8548
- NPI assigned
- Oct 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 66040 | TX | Primary |
Addresses
Primary practice location
1401 University Ave
Lubbock, TX 79401-3611
Mailing address
6528 89TH St
Lubbock, TX 79424-6715
Phone (713) 822-8548
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 |
|---|---|---|---|
| 66040 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1265158141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6528 89TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794246715",
"telephone_number": "713-822-8548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 UNIVERSITY AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794013611",
"telephone_number": "713-822-8548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "SEUNG YEOB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-12",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "66040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.