Bom Mi Eom

Primary specialty

PharmacistTaxonomy code 183500000X

License

051301457 Issued in IL

Practice address

8340 Callie Ave Unit 511
Morton Grove, IL 60053-3710

Phone

(847) 791-9594

NPI assigned

Apr 24, 2020

Last updated

Apr 25, 2020By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587772800000",
    "number": "1710507165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 CALLIE AVE UNIT 511",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 CALLIE AVE UNIT 511",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533710",
            "telephone_number": "847-791-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EOM",
        "first_name": "BOM MI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051301457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.