Active NPI
Phillip Yoo, PHARM. D
- Pharmacist
- Port Lavaca, TX
National Provider Identifier
1386921393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49241
- Practice address
- 1302 N Virginia St
Port Lavaca, TX 77979-2509 - Phone
- (361) 552-7451
- NPI assigned
- Nov 4, 2011
- Last updated
- Nov 4, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 49241 | TX | Primary |
Addresses
Primary practice location
1302 N Virginia St
Port Lavaca, TX 77979-2509
Mailing address
1702 FM 3036 Apt 6106
Rockport, TX 78382-7845
Phone (361) 537-8727
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49241 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1386921393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 FM 3036 APT 6106",
"city": "ROCKPORT",
"state": "TX",
"postal_code": "783827845",
"telephone_number": "361-537-8727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 N VIRGINIA ST",
"city": "PORT LAVACA",
"state": "TX",
"postal_code": "779792509",
"telephone_number": "361-552-7451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "PHILLIP",
"name_prefix": "Mr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-04",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "49241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Lavaca, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.