Active NPI
Kyung Ah Karen Yoo
- Pharmacist
- Roanoke, TX
National Provider Identifier
1720916299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59779
- Practice address
- 15516 Nimble TRL
Roanoke, TX 76262-2711 - Phone
- (817) 789-9964
- NPI assigned
- May 13, 2026
- 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 | 59779 | TX | Primary |
Addresses
Primary practice location
15516 Nimble TRL
Roanoke, TX 76262-2711
Mailing address
15516 Nimble TRL
Roanoke, TX 76262-2711
Phone (817) 789-9964
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59779 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1720916299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15516 NIMBLE TRL",
"city": "ROANOKE",
"state": "TX",
"postal_code": "762622711",
"telephone_number": "817-789-9964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15516 NIMBLE TRL",
"city": "ROANOKE",
"state": "TX",
"postal_code": "762622711",
"telephone_number": "817-789-9964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "KYUNG AH",
"middle_name": "KAREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-13",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "59779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.