Active NPI
Eunsoo Han, PHARMD
- Pharmacist
- Flushing, NY
National Provider Identifier
1972905057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 059791
- Practice address
- 4228 Main St
Flushing, NY 11355-3822 - Phone
- (718) 886-7789
- NPI assigned
- Sep 21, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 059791 | NY | Primary |
Addresses
Primary practice location
4228 Main St
Flushing, NY 11355-3822
Mailing address
4634 Burling St
Flushing, NY 11355-2209
Phone (646) 226-8737
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 |
|---|---|---|---|
| 059791 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Past | Accepting new patients | |
| Duane Reade | 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.
-
- Pharmacy
- New York, NY
- NPI 1548914351
-
- Pharmacy
- Flushing, NY
- NPI 1760407233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411257600000",
"number": "1972905057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4634 BURLING ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552209",
"telephone_number": "646-226-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4228 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553822",
"telephone_number": "718-886-7789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "EUNSOO",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-21",
"last_updated": "2014-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "059791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.