Active NPI
Tae Seung Oh, PHARM.D.
- Pharmacist
- Clarksville, MD
National Provider Identifier
1417320367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23761
- Practice address
- 5301 Aerie CT
Clarksville, MD 21029-1103 - Phone
- (301) 256-5656
- NPI assigned
- Nov 1, 2015
- 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 | 23761 | MD | Primary |
Addresses
Primary practice location
5301 Aerie CT
Clarksville, MD 21029-1103
Mailing address
5301 Aerie CT
Clarksville, MD 21029-1103
Phone (301) 256-5656
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446336000000",
"number": "1417320367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 AERIE CT",
"city": "CLARKSVILLE",
"state": "MD",
"postal_code": "210291103",
"telephone_number": "301-256-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 AERIE CT",
"city": "CLARKSVILLE",
"state": "MD",
"postal_code": "210291103",
"telephone_number": "301-256-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "TAE",
"middle_name": "SEUNG",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-01",
"last_updated": "2015-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "23761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.