Heesoo Shin, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

042880 Issued in TX

Practice address

2000 Crawford St Ste 105
Houston, TX 77002-9071

Phone

(713) 854-0971

NPI assigned

Nov 23, 2022

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

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.

• Eclectic RX Consulting, Inc.

  • Specialty Pharmacy
  • Houston, TX
  • NPI 1730432329
  NPD
• Eclectic RX Consulting, Inc.

  • Pharmacy
  • Houston, TX
  • NPI 1831837194
  NPD

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1861101388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CRAWFORD ST STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029071",
            "telephone_number": "713-854-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CRAWFORD ST STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029071",
            "telephone_number": "713-854-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "HEESOO",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "042880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Shimpano
• Amita Shimpi Bhalla, MD
• David Dongryun Shin, MD
• David Joseph Shin, M.D.
• Eric Eojin Shin
• Jae Wook Shin, MD
• Jisoo Shin, D.D.S.
• Joann H Shin, DDS
• Joseph Kyunghwan Shin, APRN
• Junsub Shin, DC

• Pharmacist in Houston, TX
• Providers in Houston, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.