Active NPI
Gina S Suh, PHARM.D.
- Pharmacist
- Evanston, IL
National Provider Identifier
1790991834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51291244
- Practice address
- 2650 Ridge Ave
Room G949 - Outpatient Pharmacy
Evanston, IL 60201-1718 - Phone
- (847) 570-2210
- NPI assigned
- May 15, 2007
- 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 | 51291244 | IL | Primary |
Addresses
Primary practice location
2650 Ridge Ave
Room G949 - Outpatient Pharmacy
Evanston, IL 60201-1718
Mailing address
240 3Rd St
Apt #422
Oakland, CA 94607-4376
Phone (714) 457-3881
Other names 1
- Gina S Choi
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51291244 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Clinical Operations | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric Hospital Unit
- Highland Park, IL
- NPI 1770527236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790991834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 3RD ST",
"address_2": "APT #422",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074376",
"telephone_number": "714-457-3881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"address_2": "ROOM G949 - OUTPATIENT PHARMACY",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011718",
"telephone_number": "847-570-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUH",
"first_name": "GINA",
"middle_name": "S",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "51291244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GINA",
"last_name": "CHOI",
"middle_name": "S",
"credential": "PHARM.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Evanston, IL
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.