Seok Youn Shin

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202208706 Issued in VA

Practice address

7700 Little River Tpke Ste 103
Annandale, VA 22003-2400

Phone

(571) 334-4513

NPI assigned

Oct 1, 2018

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bara Pharmacy Inc

  • Community/Retail Pharmacy
  • Annandale, VA
  • NPI 1649748211
  NPD Authorized official

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1750866299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 RED FOX DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220034138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 LITTLE RIVER TPKE STE 103",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032400",
            "telephone_number": "571-334-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "SEOK YOUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202208706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir H Shahlaee, MD
• Sarah Saghir Shami, PHARM D
• McKayla McCoy Sharer
• Kayla Shaughnessy
• Laura Douse Shernit, WHNP
• Woo Hyung Shin
• Manisha Shrestha, DMD
• Niraja Singh Shrestha, DPT
• Anna Sidor, DMD
• Signature Rehab Services, LLC

• Pharmacist in Annandale, VA
• Providers in Annandale, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.