Individual provider Active NPI

Christopher Yoo Yung Kyoo Perseo, R.PH, PHARM D.

  • Pharmacist
  • Coral Springs, FL
National Provider Identifier
1972825271
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS52369 Issued in FL
Practice address
5480 N University Dr
Coral Springs, FL 33067-4603
Phone
(954) 344-6437
NPI assigned
Feb 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS52369 FL Primary

Addresses

Primary practice location

5480 N University Dr
Coral Springs, FL 33067-4603

Mailing address

6981 NW 66TH St
Parkland, FL 33067-1476
Phone (954) 864-7254

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS52369FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Pharmacy PastSince Apr 3, 2022 Accepting new patients
Walgreen Co Pharmacy PastSince Apr 3, 2022 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": "1267315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1972825271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6981 NW 66TH ST",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671476",
            "telephone_number": "954-864-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674603",
            "telephone_number": "954-344-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSEO",
        "first_name": "CHRISTOPHER",
        "middle_name": "YOO YUNG KYOO",
        "name_prefix": "Mr.",
        "credential": "R.PH, PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-28",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS52369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.