Active NPI
Gordon Joungmok Oh, PHARM.D.
- Pharmacist
- Whittier, CA
National Provider Identifier
1982259362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77309
- Practice address
- 11735 Whittier Blvd
Whittier, CA 90601-3939 - Phone
- (562) 692-7706
- Fax
- (562) 699-6676
- NPI assigned
- Aug 2, 2019
- Last updated
- Aug 2, 2019
- Sex
- Male
- 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 | 77309 | CA | Primary |
Addresses
Primary practice location
11735 Whittier Blvd
Whittier, CA 90601-3939
Mailing address
11735 Whittier Blvd
Whittier, CA 90601-3939
Phone (562) 692-7706
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 |
|---|---|---|---|
| 77309 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1982259362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11735 WHITTIER BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906013939",
"telephone_number": "562-692-7706",
"fax_number": "562-699-6676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11735 WHITTIER BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906013939",
"telephone_number": "562-692-7706",
"fax_number": "562-699-6676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "GORDON",
"middle_name": "JOUNGMOK",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-02",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.