Individual provider Active NPI

Edward Taewoon Um, PHARMD.

  • Pharmacist
  • Frisco, TX
National Provider Identifier
1952721318
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50728 Issued in TX
Practice address
10530 John W Elliott Dr Ste 100
Frisco, TX 75033-2014
Phone
(888) 487-8161
Fax
(800) 874-9179
NPI assigned
Apr 23, 2014
Last updated
Apr 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50728 TX Primary
Pharmacist 183500000X RP448479 PA

Addresses

Primary practice location

10530 John W Elliott Dr Ste 100
Frisco, TX 75033-2014

Mailing address

10530 John W Elliott Dr Ste 100
Frisco, TX 75033-2014
Phone (888) 487-8161

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
RP448479PAMDPharmacist
50728TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1952721318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10530 JOHN W ELLIOTT DR STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750332014",
            "telephone_number": "888-487-8161",
            "fax_number": "800-874-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10530 JOHN W ELLIOTT DR STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750332014",
            "telephone_number": "888-487-8161",
            "fax_number": "800-874-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UM",
        "first_name": "EDWARD",
        "middle_name": "TAEWOON",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "50728",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP448479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.