Active NPI
Kihoon Cho, PHARMD.
- Pharmacist
- Versailles, MO
National Provider Identifier
1922469584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2015012217
- Practice address
- 1003 W Newton St
Versailles, MO 65084-1813 - Phone
- (573) 378-5421
- NPI assigned
- Mar 10, 2016
- Last updated
- Mar 10, 2016
- 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 | 2015012217 | MO | Primary |
| Pharmacist | 183500000X | PH-3676 | HI |
Addresses
Primary practice location
1003 W Newton St
Versailles, MO 65084-1813
Mailing address
2411 Chouteau LN
Boonville, MO 65233-2779
Phone (419) 429-9661
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 |
|---|---|---|---|
| PH-3676 | HI | MD | Pharmacist |
| 2015012217 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Walmart Pharmacy 10-0357
- Community/Retail Pharmacy
- Versailles, MO
- NPI 1861542110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1922469584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 CHOUTEAU LN",
"city": "BOONVILLE",
"state": "MO",
"postal_code": "652332779",
"telephone_number": "419-429-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 W NEWTON ST",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650841813",
"telephone_number": "573-378-5421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "KIHOON",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-10",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2015012217",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-3676",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Versailles, MO
- Diana Moree Burdick, FNP
- Susan Mary Burkhart, M.D.
- Leanne I Cain, RPH
- Capital Region Medical Center (Capital Region Physicians - Versailles)
- Jeffrey S Carver, FNP
- Michelle Chrisman, PTA
- Citizens for Health and Wellness
- County of Morgan School District 2
- Curators of the University of Missouri (Mizzou Pharmacy - Versailles)
- Melinda Lea Daniels, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.