Active NPI
Hanna J Koo, PHARMD
- Pharmacist
- Fort Lee, NJ
National Provider Identifier
1659975845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03649800
- Practice address
- 1475 Bergen Blvd
Fort Lee, NJ 07024-2176 - Phone
- (201) 947-4840
- NPI assigned
- Nov 28, 2020
- 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 | 28RI03649800 | NJ | Primary |
Addresses
Primary practice location
1475 Bergen Blvd
Fort Lee, NJ 07024-2176
Mailing address
1475 Bergen Blvd
Fort Lee, NJ 07024-2176
Phone (201) 708-5387
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03649800 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1659975845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 BERGEN BLVD",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242176",
"telephone_number": "201-708-5387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 BERGEN BLVD",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242176",
"telephone_number": "201-947-4840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOO",
"first_name": "HANNA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-28",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03649800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.