Active NPI
Sujean Myung, PHARM D.
- Pharmacist
- Elmont, NY
National Provider Identifier
1710377221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 061143-I
- Practice address
- 1730 Hempstead Tpke
Elmont, NY 11003-1856 - Phone
- (516) 326-3579
- NPI assigned
- Feb 4, 2015
- Last updated
- Nov 17, 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 | 061143-I | NY | Primary |
Addresses
Primary practice location
1730 Hempstead Tpke
Elmont, NY 11003-1856
Mailing address
1730 Hempstead Tpke
Elmont, NY 11003-1856
Phone (516) 326-3579
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 |
|---|---|---|---|
| 061143-I | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany, L.L.C. | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
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": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1710377221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 HEMPSTEAD TPKE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110031856",
"telephone_number": "516-326-3579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 HEMPSTEAD TPKE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110031856",
"telephone_number": "516-326-3579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYUNG",
"first_name": "SUJEAN",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-04",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061143-I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.