Individual provider Active NPI

Min Hwan Oh, PHARM.D.

  • Pharmacist
  • Johns Creek, GA
National Provider Identifier
1912316647
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH024921 Issued in GA
Practice address
10820 Abbotts Bridge Rd Ste 240
Johns Creek, GA 30097-5783
Phone
(470) 223-4775
Fax
(470) 223-4790
NPI assigned
Aug 6, 2014
Last updated
May 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH024921 GA Primary

Addresses

Primary practice location

10820 Abbotts Bridge Rd Ste 240
Johns Creek, GA 30097-5783

Mailing address

10820 Abbotts Bridge Rd Ste 240
Johns Creek, GA 30097-5783
Phone (470) 223-4775

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

LicenseStateTypeSpecialty
RPH024921GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Family Medicine Group LLC CurrentSince May 16, 2021 Accepting new patients

Locations

10820 Abbotts Bridge Rd
Ste 240
Johns Creek, GA 30097
Phone (470) 223-4775

10900 Medlock Bridge Rd
Ste 308
Johns Creek, GA 30097
Phone (470) 223-4775

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1912316647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 ABBOTTS BRIDGE RD STE 240",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300975783",
            "telephone_number": "470-223-4775",
            "fax_number": "470-223-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 ABBOTTS BRIDGE RD STE 240",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300975783",
            "telephone_number": "470-223-4775",
            "fax_number": "470-223-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "MIN HWAN",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH024921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.