Active NPI
Hae Jung Kim Oh, RPH
- Pharmacist
- Ann Arbor, MI
National Provider Identifier
1720337322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302035261
- Practice address
- 3255 Washtenaw Ave
Ann Arbor, MI 48104-4201 - Phone
- (734) 975-2902
- NPI assigned
- Aug 29, 2012
- Last updated
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 5302035261 | MI | Primary |
Addresses
Primary practice location
3255 Washtenaw Ave
Ann Arbor, MI 48104-4201
Mailing address
795 Watersedge Dr
Ann Arbor, MI 48105-2516
Phone (734) 929-2218
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302035261 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1720337322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 WATERSEDGE DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052516",
"telephone_number": "734-929-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3255 WASHTENAW AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044201",
"telephone_number": "734-975-2902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM OH",
"first_name": "HAE JUNG",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302035261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.