Active NPI
Moonjoo Koh, PHARMACIST
- Pharmacist
- Seattle, WA
National Provider Identifier
1508377821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH.60759630
- Practice address
- 4025 Delridge Way SW
Seattle, WA 98106-1249 - Phone
- (206) 763-2626
- NPI assigned
- Oct 13, 2017
- Last updated
- Oct 13, 2017
- 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 | PH.60759630 | WA | Primary |
Addresses
Primary practice location
4025 Delridge Way SW
Seattle, WA 98106-1249
Mailing address
4216 12TH Ave NE Apt 204
Seattle, WA 98105-5926
Phone (714) 287-5864
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 |
|---|---|---|---|
| PH.60759630 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507852800000",
"number": "1508377821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4216 12TH AVE NE APT 204",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981055926",
"telephone_number": "714-287-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 DELRIDGE WAY SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981061249",
"telephone_number": "206-763-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOH",
"first_name": "MOONJOO",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-13",
"last_updated": "2017-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH.60759630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.