Krystal Soo, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD07250 Issued in AR

Practice address

2282 E Nettleton Avenue
Jonesboro, AR 72401-4534

Phone

(870) 932-6930

Fax

(870) 932-1378

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Soos Drug Inc

  • Long Term Care Pharmacy
  • Jonesboro, AR
  • NPI 1013605203
  NPD Authorized official
• Soo'S Health Mart

  • Durable Medical Equipment & Medical Supplies
  • Jonesboro, AR
  • NPI 1225158777
  NPD (past) Authorized official
• West End Associates, Inc.

  • Community/Retail Pharmacy
  • Jonesboro, AR
  • NPI 1831536283
  NPD (past) Authorized official
• West End Associates, Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Jonesboro, AR
  • NPI 1437578697
  NPD (past) Authorized official
• Soos Drug Inc

  • Community/Retail Pharmacy
  • Jonesboro, AR
  • NPI 1497755946
  NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1366596124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 E NETTLETON AVENUE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014534",
            "telephone_number": "870-932-6930",
            "fax_number": "870-932-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 E NETTLETON AVENUE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014534",
            "telephone_number": "870-932-6930",
            "fax_number": "870-932-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOO",
        "first_name": "KRYSTAL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD07250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Socialspace ABA Therapy LLC
• Bertha Solorzano
• Solutions Physical Therapy, PLLC
• Lois Somlar, MHPP
• Sonopro Imaging, LLC
• Michael Alan Soo, PD
• Tyler Alan Soo, PHARM.D
• Soo'S Health Mart
• Soos Compounding Center
• Soos Drug Inc

• Pharmacist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.