Bo Ram Keum, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04361800 Issued in NJ

Practice address

1424 Bergen Blvd
Fort Lee, NJ 07024-2116

Phone

(201) 482-0801

NPI assigned

Apr 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Royal Plaza Drug LLC

  dba Royal Pharmacy

  • Community/Retail Pharmacy
  • Fort Lee, NJ
  • NPI 1700375292
  NPD (past)

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1619729878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HUDSON TER APT 4J",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243507",
            "telephone_number": "617-378-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 BERGEN BLVD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242116",
            "telephone_number": "201-482-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUM",
        "first_name": "BO RAM",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04361800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaspreet Kaur, PHARMD
• Katherine Kehoe, LCSW
• Kristen Mary Keller, LCSW
• Karen Gertrudis Kerr, MED.,CCC-SLP
• Hermine Kessler Axelrod, RD CDE
• Gavriil Khaimov, DPM
• Lydia Khalil, DDS
• Nikhat P Khan, DMD.AEGD
• KHH Medical Care PC.
• Michael Bryan Khodorkovsky, DC

• Pharmacist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.