Active NPI
Yoona Koo, PHARM.D., BCGP
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1902230832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20058522
- Practice address
- 1150 S. Westmoreland Ave. Apt. 113
Los Angeles, CA 90006 - Phone
- (845) 208-3328
- NPI assigned
- Aug 28, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69347 | CA | |
| Pharmacist | 183500000X | RPH-0017.766 | OR | |
| Geriatric Pharmacist | 1835G0303X | 99107922 | NY | |
| Pharmacist | 183500000X | 20058522 | NY | Primary |
Addresses
Primary practice location
1150 S. Westmoreland Ave. Apt. 113
Los Angeles, CA 90006
Mailing address
1150 S Westmoreland Ave Apt 113
Los Angeles, CA 90006-3492
Phone (347) 622-2035
Other names 1
- Yoona Lee
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ylee@ltsrx.com | Direct |
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 |
|---|---|---|---|
| 20058522 | NY | MD | Pharmacist |
| RPH-0017.766 | OR | MD | Pharmacist |
| 99107922 | NY | MD | Geriatric Pharmacist |
| 69347 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708214400000",
"number": "1902230832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 S WESTMORELAND AVE APT 113",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900063492",
"telephone_number": "347-622-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 S. WESTMORELAND AVE. APT. 113",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90006",
"telephone_number": "845-208-3328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOO",
"first_name": "YOONA",
"credential": "PHARM.D., BCGP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-28",
"last_updated": "2024-02-18",
"certification_date": "2024-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69347",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0017.766",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NY",
"license": "99107922",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "20058522",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ylee@ltsrx.com",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Work Email",
"address_1": "8499 S Tamiami Trl",
"city": "Sarasota",
"state": "FL",
"country_code": "US",
"postal_code": "342382960",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "YOONA",
"last_name": "LEE",
"credential": "PHARM.D., BCGP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.