Active NPI
Edward Yoo, PHARMD
- Pharmacist
- Chicago, IL
National Provider Identifier
1982296539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051301467
- Practice address
- 2434 No. Sacramento Ave
Chicago, IL 60647 - Phone
- (773) 687-6346
- NPI assigned
- Feb 5, 2021
- Last updated
- Feb 5, 2021
- Sex
- Male
- 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 | 051301467 | IL | Primary |
Addresses
Primary practice location
2434 No. Sacramento Ave
Chicago, IL 60647
Mailing address
2434 No. Sacramento Ave
Chicago, IL 60647-2666
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 |
|---|---|---|---|
| 051301467 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS LLC | Current | Accepting new patients |
Locations
2434 N Sacramento Ave
Chicago, IL 60647
Phone (773) 687-6346
Organizations & group practices 1
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": "1612483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1982296539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2434 NO. SACRAMENTO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2434 NO. SACRAMENTO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60647",
"telephone_number": "773-687-6346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "EDWARD",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-05",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051301467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.