Individual provider Active NPI

Dong Min Cho, PHARMD

  • Pharmacist
  • South Farmingdale, NY
National Provider Identifier
1447573639
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050805-1 Issued in NY
Practice address
918 Main St
South Farmingdale, NY 11735-5426
Phone
(516) 845-5235
Fax
(516) 845-5263
NPI assigned
Mar 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 050805 NY
Pharmacist 183500000X 050805-1 NY Primary

Addresses

Primary practice location

918 Main St
South Farmingdale, NY 11735-5426

Mailing address

918 Main St
South Farmingdale, NY 11735-5426
Phone (516) 845-5235

Other practice location 1

11907 Springfield Blvd
Cambria Heights, NY 11411
Phone (718) 749-0400

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
050805-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Jun 7, 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": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1447573639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 MAIN ST",
            "city": "SOUTH FARMINGDALE",
            "state": "NY",
            "postal_code": "117355426",
            "telephone_number": "516-845-5235",
            "fax_number": "516-845-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 MAIN ST",
            "city": "SOUTH FARMINGDALE",
            "state": "NY",
            "postal_code": "117355426",
            "telephone_number": "516-845-5235",
            "fax_number": "516-845-5263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11907 SPRINGFIELD BLVD",
            "address_purpose": "LOCATION",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "11411",
            "country_code": "US",
            "telephone_number": "718-749-0400",
            "fax_number": "718-749-0401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "DONG MIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050805",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050805-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.