Active NPI
Dae Han Yoo, PHARMD
- Pharmacist
- Ridgewood, NY
National Provider Identifier
1841772241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064606
- Practice address
- 311 St. Nicholas Ave
Ridgewood, NY 11385 - Phone
- (718) 366-2268
- NPI assigned
- Aug 31, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04437600 | NJ | |
| Pharmacist | 183500000X | 064606 | NY | Primary |
Addresses
Primary practice location
311 St. Nicholas Ave
Ridgewood, NY 11385
Mailing address
311 St. Nicholas Ave
Ridgewood, NY 11385
Phone (718) 366-2268
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 |
|---|---|---|---|
| 064606 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1841772241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 ST. NICHOLAS AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "11385",
"telephone_number": "718-366-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 ST. NICHOLAS AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "11385",
"telephone_number": "718-366-2268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "DAE HAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-31",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04437600",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.