Active NPI
Hyun Min Yoo, PHARM.D.
- Pharmacist
- Aldie, VA
National Provider Identifier
1932654795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202214462
- Practice address
- 42025 Village Center PLZ
Aldie, VA 20105-3027 - Phone
- (703) 722-2829
- NPI assigned
- Aug 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | RPH029060 | GA | |
| Pharmacist | 183500000X | 0202214462 | VA | Primary |
Addresses
Primary practice location
42025 Village Center PLZ
Aldie, VA 20105-3027
Mailing address
43757 Paramount PL
Chantilly, VA 20152-5726
Phone (770) 695-4247
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 |
|---|---|---|---|
| RPH029060 | GA | MD | Pharmacist |
| 0202214462 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
42025 Village Center Plz
Stone Ridge, VA 20105
Phone (703) 722-2829
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1932654795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43757 PARAMOUNT PL",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201525726",
"telephone_number": "770-695-4247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42025 VILLAGE CENTER PLZ",
"city": "ALDIE",
"state": "VA",
"postal_code": "201053027",
"telephone_number": "703-722-2829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "HYUN MIN",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-23",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH029060",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202214462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aldie, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.