JUNG-SOO KOH (NPI# 1609251024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609251024 |
| Entity Type | Individual |
| Full Name | JUNG-SOO KOH |
| Practice Address |
180 Passaic Ave Fairfield NJ 07004-3516 |
| Practice Telephone | 9734611550 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI02650600 | NJ | Pharmacy Service Providers |
| Street Address |
180 PASSAIC AVE |
| City | FAIRFIELD |
| State | NJ |
| Zip Code | 07004-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948413 | Caremark, L.L.C. | Durable Medical Equipment & Medical Supplies | 180 Passaic Ave, Fairfield, NJ 07004-3516 | 2005-11-08 |
| 1326654989 | Thomas Peter Caruso Jr. | Pharmacy Technician | 180 Passaic Ave, Fairfield, NJ 07004-3516 | 2020-09-18 |
| 1609497007 | Eugene Zhang | Pharmacist | 180 Passaic Ave, Fairfield, NJ 07004-3516 | 2020-04-27 |
| 1659881845 | Caremark LLC | Durable Medical Equipment & Medical Supplies | 180 Passaic Ave, Fairfield, NJ 07004-3516 | 2017-10-03 |
| 1194100552 | Hetal N Patel | Pharmacist | 180 Passaic Ave, Fairfield, NJ 07004-3516 | 2015-07-28 |
| 1710398771 | Faisal Syed | Pharmacist | 180 Passaic Ave, Fairfield, NJ 07004-3516 | 2014-05-13 |
| 1194144774 | Cherry Truong | Pharmacist | 180 Passaic Ave, Fairfield, NJ 07004-3516 | 2014-04-10 |
| 1700204187 | Cvs Caremark Specialty Pharmacy | Exclusive Provider Organization | 180 Passaic Ave, Fairfield, NJ 07004-3516 | 2014-04-02 |
| 1720406275 | Matthew Goldrich | Pharmacist | 180 Passaic Ave, Fairfield, NJ 07004-3516 | 2014-04-02 |
| 1518306182 | Eric H. So | Pharmacist | 180 Passaic Ave, Fairfield, NJ 07004-3516 | 2013-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543695 | Dr. Mae J. Balaban & Associates LLC | Psychologist | 333 A U.S. Highway 46 W Ste 260, Fairfield, NJ 07004 | 2019-11-18 |
| 1477103547 | Kdds Too, Inc. | Community/Behavioral Health | 28 Dwight Place, Fairfield, NJ 07004 | 2019-09-19 |
| 1912487711 | Vela Diagnostics Usa Inc | Clinical Medical Laboratory | 353c Us Route 46, Suite 250, Fairfield, NJ 07004 | 2018-08-21 |
| 1285111864 | Advance Home Physical Therapy LLC | Physical Therapist | 9 Belair Dr, Fairfield, NJ 07004 | 2018-07-25 |
| 1063808962 | Homecare Rx Inc. | Pharmacy | 695 Us Hwy. 46, Ste. 100, Fairfield, NJ 07004 | 2015-04-08 |
| 1336544832 | Villo' Fiddler | Pharmacist | 632 Rt. 46 East, Fairfield, NJ 07004 | 2014-10-27 |
| 1093133746 | Simone Alicia Douge | Family Medicine | 700 Route 46 E Ste 450, Fairfield, NJ 07004 | 2014-03-31 |
| 1386905529 | Med Life LLC | Ambulance | 295 Route 46 West, Suite 201, Fairfield, NJ 07004 | 2012-06-05 |
| 1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
| 1447529425 | Yelena Daysudov | Pharmacist | 180 Passaic Avenue, Fairfield, NJ 07004 | 2011-12-21 |
| Find all providers in zip 07004 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
| 1033724026 | Ami Patel | Pharmacist | 695 Us Highway 46 Ste 100, Fairfield, NJ 07004-1561 | 2020-09-15 |
| 1205456662 | Joanna Pak | Pharmacist | 180 Passaic Ave Bldg B, Fairfield, NJ 07004-3516 | 2020-04-25 |
| 1033758420 | Jenny Treece | Pharmacist | 367 Dave Creek Parkway, Fairfield, AR 72088-1223 | 2020-01-02 |
| 1043861941 | Neil H Sandow | Pharmacist | 1330 Gateway Blvd, Fairfield, CA 94533-6915 | 2019-09-23 |
| 1245737378 | Xiao Peng Zhao | Pharmacist | 4950 Fulton Dr Ste 1a, Fairfield, CA 94534-1615 | 2018-04-05 |
| 1427577386 | Melisa Kelley | Pharmacist | 480 Chadbourne Rd Ste 101, Fairfield, CA 94534-9641 | 2017-09-12 |
| 1972034817 | Victoria Wong-chiu | Pharmacist | 5088 Bianco Cir, Fairfield, CA 94534-4132 | 2017-03-22 |
| 1932630852 | Jaqueline Araujo | Pharmacist | 1000 Nightingale Dr, Fairfield, CA 94533-2329 | 2017-03-22 |
| 1154852291 | Krystal Garcia | Pharmacist | 2108 Arabian Dr, Fairfield, CA 94534-7442 | 2017-03-21 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.