Active NPI
Ellie H Ju
- Pharmacist
- Alpharetta, GA
National Provider Identifier
1972073955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH031057
- Practice address
- 3000 Old Alabama Rd
Alpharetta, GA 30022-5860 - Phone
- (770) 751-7388
- NPI assigned
- Dec 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH031057 | GA | Primary |
Addresses
Primary practice location
3000 Old Alabama Rd
Alpharetta, GA 30022-5860
Mailing address
3000 Old Alabama Rd
Alpharetta, GA 30022-5860
Other names 1
- Hee Ju
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH031057 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co | Past | Accepting new patients | |
| The Kroger Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1972073955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 OLD ALABAMA RD",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300225860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 OLD ALABAMA RD",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300225860",
"telephone_number": "770-751-7388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JU",
"first_name": "ELLIE",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-03",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH031057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEE",
"last_name": "JU",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.