Active NPI
Heeseung Noh
- Pharmacist
- Alachua, FL
National Provider Identifier
1457955908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS42662
- Practice address
- 15174 NW US Highway 441
Alachua, FL 32615-8602 - Phone
- (386) 462-1323
- NPI assigned
- Nov 25, 2020
- Sex
- Female
- 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 | PS42662 | FL | Primary |
Addresses
Primary practice location
15174 NW US Highway 441
Alachua, FL 32615-8602
Mailing address
1107 SW 83Rd Way
Gainesville, FL 32607-7043
Phone (352) 359-4424
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS42662 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Current | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Locations
15174 NW US Highway 441
Alachua, FL 32615
Phone (386) 462-1323
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": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1457955908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 SW 83RD WAY",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326077043",
"telephone_number": "352-359-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15174 NW US HIGHWAY 441",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326158602",
"telephone_number": "386-462-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOH",
"first_name": "HEESEUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-25",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS42662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alachua, FL
- Carol Jones Mulvihill, LMT
- Richard L Murrhee
- Kishan Nallapula, MD.
- New Creation Homes and Services LLC
- Visvambhara Nicoloff, LMT
- North Central Florida Neurodiagnostic Services, LLC (NCF Diagnostics & DNA Technologies)
- Jeffrey John Nowlin
- Galina O'Steen, CCC-SLP
- One Stop Medical and Urgent Care
- Onestop Primary Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.