Suju Enterprise Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010262 Issued in GA

Legal business name

SUJU ENTERPRISE INC.

Doing business as

Hana Plus Pharmacy

Practice address

3585 Peachtree Industrial Blvd Ste 158
Duluth, GA 30096-6370

Phone

(770) 828-7576

Fax

(678) 878-2446

NPI assigned

Feb 3, 2016

Organization subpart

No

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

Authorized official

Name

Ja Young Kongkim

Title

Owner

Phone

(770) 828-7576

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hana Plus Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Hana Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Suju Enterprise Inc

  dba hana pharmacy

  • Community/Retail Pharmacy
  • Duluth, GA
  • NPI 1073917449
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1528426657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 PEACHTREE INDUSTRIAL BLVD STE 158",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966370",
            "telephone_number": "770-828-7576",
            "fax_number": "678-878-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 PEACHTREE INDUSTRIAL BLVD STE 158",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966370",
            "telephone_number": "770-828-7576",
            "fax_number": "678-878-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUJU ENTERPRISE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "KONGKIM",
        "authorized_official_first_name": "JA YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-828-7576"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157893",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hana Plus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen A Sudler, MD
• Sugarloaf Eyecare, Inc. (Sugarloaf Eyecare)
• Chanhee Suh, PHARMACIST
• Aaron F Sui, L.AC.
• Suju Enterprise Inc (hana pharmacy)
• Nuredin A Sule
• Summit Surgery Center of Duluth
• Jimin Sun
• Kyung-Hwa Sun
• Sung Hyun Inc (Koreana Pharmacy & Gifts)

• Community/Retail Pharmacy in Duluth, GA
• Providers in Duluth, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.