Active NPI
Melissa Myung Joh, RPH
- Pharmacist
- New York, NY
National Provider Identifier
1477730463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051488
- Practice address
- 4 W 4TH St
New York, NY 10012-1168 - Phone
- (212) 473-1027
- Fax
- (212) 598-4991
- NPI assigned
- Jan 22, 2008
- Sex
- Female
- 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 | 051488 | NY | Primary |
Addresses
Primary practice location
4 W 4TH St
New York, NY 10012-1168
Mailing address
4 W 4TH St
New York, NY 10012-1168
Phone (212) 473-1027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05143948 | Medicaid | NY |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051488 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Past | Accepting new patients | |
| Duane Reade | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1477730463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 W 4TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100121168",
"telephone_number": "212-473-1027",
"fax_number": "212-598-4991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 W 4TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100121168",
"telephone_number": "212-473-1027",
"fax_number": "212-598-4991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOH",
"first_name": "MELISSA",
"middle_name": "MYUNG",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "051488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05143948",
"state": "NY"
}
],
"endpoints": [],
"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 Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.