Individual provider Active NPI

Ryungjoo Suh, PHARMD

  • Pharmacist
  • New York, NY
National Provider Identifier
1427683838
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1068226-01 Issued in NY
Practice address
1870 Lexington Ave
New York, NY 10029-2046
Phone
(212) 348-2117
NPI assigned
Mar 5, 2020
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04005400 NJ
Pharmacist 183500000X 1068226-01 NY Primary

Addresses

Primary practice location

1870 Lexington Ave
New York, NY 10029-2046

Mailing address

1870 Lexington Ave
New York, NY 10029-2046

Other identifiers 1

IdentifierTypeStateIssuer
28RI04005400OtherNJPHARMACIST LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bergenpharmacy@hotmail.con Other

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

LicenseStateTypeSpecialty
28RI04005400NJMDPharmacist
1068226-01NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Raysol Drugs Inc PastSince Feb 2, 2025 Accepting new patients
Bergen Care Pharmacy Inc PastSince Mar 1, 2020 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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1427683838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292046",
            "telephone_number": "212-348-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "RYUNGJOO",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04005400",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "1068226-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "28RI04005400",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bergenpharmacy@hotmail.con",
            "affiliation": "N",
            "endpointDescription": "Pharmacy email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "bergenpharmacy@hotmail.con",
            "address_1": "1625 Lemoine Ave Ste 1",
            "city": "Fort Lee",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070245651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.