Myeon Soo Joo

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60097578 Issued in WA

Practice address

4315 6TH Ave
Tacoma, WA 98406-4014

Phone

(253) 756-5159

NPI assigned

Feb 18, 2010

Last updated

Feb 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Daniel Joo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1659693562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984064014",
            "telephone_number": "253-756-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984064014",
            "telephone_number": "253-756-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOO",
        "first_name": "MYEON",
        "middle_name": "SOO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60097578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "JOO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shavanety Genae Jones, SSP, NCSP
• Sophie Jones
• Tracy Ann Jones, LMP
• Alexander Monroe Jonson
• Amy Lynne Jonson
• Diana Jean Jorda
• Arturianna Jordan-Green
• Amelia Jordan
• Annabel Jordan
• Bonnie Jordan, M.D.

• Pharmacist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.