Active NPI
Kap Soo Sohn
- Pharmacist
- New York, NY
National Provider Identifier
1780790048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 030607
- Practice address
- 4157 Broadway
New York, NY 10033-3702 - Phone
- (212) 568-2960
- Fax
- (212) 568-2960
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- 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 | 030607 | NY | Primary |
Addresses
Primary practice location
4157 Broadway
New York, NY 10033-3702
Mailing address
220 Beech CT
Norwood, NJ 07648-2006
Phone (201) 750-0884
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780790048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 BEECH CT",
"city": "NORWOOD",
"state": "NJ",
"postal_code": "076482006",
"telephone_number": "201-750-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4157 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100333702",
"telephone_number": "212-568-2960",
"fax_number": "212-568-2960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOHN",
"first_name": "KAP",
"middle_name": "SOO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "030607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.