Active NPI
Sang Jo Han, PHARM.D
- Pharmacist
- Carrollton, GA
National Provider Identifier
1871743500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH036102
- Practice address
- 1109 S Park St Ste 600
Carrollton, GA 30117-4449 - Phone
- (770) 214-3146
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- 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 | PH00060893 | WA | |
| Pharmacist | 183500000X | RPH036102 | GA | Primary |
Addresses
Primary practice location
1109 S Park St Ste 600
Carrollton, GA 30117-4449
Mailing address
57 Mayhaw PT
Sharpsburg, GA 30277-6966
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 |
|---|---|---|---|
| RPH036102 | GA | MD | Pharmacist |
| PH00060893 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Pharmacy, Inc. | Past | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Carrollton, GA
- NPI 1659311082
-
- Community/Retail Pharmacy
- Lakewood, WA
- NPI 1689819831
-
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1760356380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1871743500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 MAYHAW PT",
"city": "SHARPSBURG",
"state": "GA",
"postal_code": "302776966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 S PARK ST STE 600",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174449",
"telephone_number": "770-214-3146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "SANG JO",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00060893",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH036102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.