Organization Active NPI

Dream Pharmacy

  • Community/Retail Pharmacy
  • Suwanee, GA
National Provider Identifier
1740321603
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009122 Issued in GA
Legal business name
DREAM PHARMACY
Doing business as
YOO PHARMACY
Practice address
1299 Old Peachtree Rd NW
Suwanee, GA 30024-2028
Phone
(770) 814-4515
Fax
(770) 814-4516
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yoo Byung Doo
Title
Owner
Phone
(770) 814-4515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHRE009122 GA Primary

Addresses

Primary practice location

1299 Old Peachtree Rd NW
Suwanee, GA 30024-2028

Mailing address

1299 Old Peachtree Rd NW
Suwanee, GA 30024-2028
Phone (770) 814-4515

Other practice location 1

3610 Peachtree Industrial Blvd Ste 400
Duluth, GA 30096-5139
Phone (770) 299-1971

Other identifiers 2

IdentifierTypeStateIssuer
003136348AMedicaidGA
2016475OtherPK

Other names 1

  • YOO PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1299 Old Peachtree Rd NW
Suwanee, GA 30024
Phone (770) 814-4515

1299 Old Peachtree Rd NW
Ste 108
Suwanee, GA 30024
Phone (770) 814-4515

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1740321603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 OLD PEACHTREE RD NW",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242028",
            "telephone_number": "770-814-4515",
            "fax_number": "770-814-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 OLD PEACHTREE RD NW",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242028",
            "telephone_number": "770-814-4515",
            "fax_number": "770-814-4516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3610 Peachtree Industrial Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300965139",
            "country_code": "US",
            "telephone_number": "770-299-1971",
            "fax_number": "770-299-1973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DREAM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "BYUNG DOO",
        "authorized_official_first_name": "YOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-814-4515"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003136348A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2016475",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.