Active NPI
Seongjun Choi, PHARMD
- Pharmacist
- New York, NY
National Provider Identifier
1679069397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03841500
- Practice address
- 3363A Broadway
New York, NY 10031-7403 - Phone
- (212) 518-3010
- NPI assigned
- Jul 5, 2018
- Last updated
- Oct 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 062258 | NY | |
| Pharmacist | 183500000X | 28RI03841500 | NJ | Primary |
Addresses
Primary practice location
3363A Broadway
New York, NY 10031-7403
Mailing address
3363A Broadway
New York, NY 10031-7403
Phone (212) 518-3010
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 |
|---|---|---|---|
| 062258 | NY | MD | General Practice Dentistry |
| 28RI03841500 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilda Pharmacy LLC | Current | Accepting new patients | |
| Royal Plaza Drug LLC | Past | Accepting new patients |
Locations
3363 Broadway
#A
New York, NY 10031
Phone (212) 518-3010
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1679069397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3363A BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100317403",
"telephone_number": "212-518-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3363A BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100317403",
"telephone_number": "212-518-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "SEONGJUN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-05",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "062258",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03841500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.