Active NPI
Eun Gyoung Seo, RPH, PHD
- Critical Care Pharmacist
- Annapolis, MD
National Provider Identifier
1942026505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pharmacist
- License
- 17869
- Practice address
- 2001 Medical Pkwy
Annapolis, MD 21401-3773 - Phone
- (443) 481-4155
- NPI assigned
- Nov 28, 2024
- Last updated
- Nov 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 17869 | MD | |
| Critical Care Pharmacist | 1835C0205X | 17869 | MD | Primary |
| Ambulatory Care Pharmacist | 1835P2201X | 17869 | MD | |
| Compounded Sterile Preparations Pharmacist | 1835C0207X | 17869 | MD |
Addresses
Primary practice location
2001 Medical Pkwy
Annapolis, MD 21401-3773
Mailing address
5 Park PL Unit 501
Annapolis, MD 21401-3452
Phone (410) 493-8041
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 Philosophy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17869 | MD | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732752000000",
"number": "1942026505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PARK PL UNIT 501",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013452",
"telephone_number": "410-493-8041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MEDICAL PKWY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013773",
"telephone_number": "443-481-4155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEO",
"first_name": "EUN GYOUNG",
"name_prefix": "Dr.",
"credential": "RPH, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-28",
"last_updated": "2024-11-28",
"certification_date": "2024-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "MD",
"license": "17869",
"primary": false
},
{
"code": "1835C0205X",
"taxonomy_group": "",
"desc": "Pharmacist, Critical Care",
"state": "MD",
"license": "17869",
"primary": true
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MD",
"license": "17869",
"primary": false
},
{
"code": "1835C0207X",
"taxonomy_group": "",
"desc": "Pharmacist, Compounded Sterile Preparations",
"state": "MD",
"license": "17869",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.