Active NPI
Sang Kyu Cho, PHARMD MPH
- Pharmacist
- Englewood, NJ
National Provider Identifier
1427434786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03681000
- Practice address
- 543 Grand Ave
Englewood, NJ 07631-4934 - Phone
- (201) 568-9378
- NPI assigned
- Aug 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 060508-1 | NY | |
| Pharmacist | 183500000X | 28RI03681000 | NJ | Primary |
Addresses
Primary practice location
543 Grand Ave
Englewood, NJ 07631-4934
Mailing address
543 Grand Ave
Englewood, NJ 07631-4934
Phone (201) 568-9378
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 |
|---|---|---|---|
| 28RI03681000 | NJ | MD | Pharmacist |
| 060508-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gupta Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Englewood, NJ
- NPI 1962409532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1427434786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 GRAND AVE",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314934",
"telephone_number": "201-568-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 GRAND AVE",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314934",
"telephone_number": "201-568-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "SANG",
"middle_name": "KYU",
"credential": "PHARMD MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-09",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "060508-1",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03681000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.