YOO JUNG OH (NPI# 1063011039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063011039 |
| Entity Type | Individual |
| Full Name | YOO JUNG OH |
| Credential | PHARM.D |
| Practice Address |
2811 W 10th Ave Kennewick WA 99336-3104 |
| Mailing Address |
3703 W Kennewick Ave Apt D229 Kennewick WA 99336-2883 |
| Practice Telephone | 5097358700 |
| Mailing Telephone | 7026002546 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH61070257 | WA | Pharmacy Service Providers |
| Street Address |
2811 W 10TH AVE |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902843253 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2811 W 10th Ave, Suite C, Kennewick, WA 99336-3104 | 2006-06-02 |
| 1528513371 | Kathleen Nusbaum | Pharmacist | 2811 W 10th Ave, Kennewick, WA 99336-3104 | 2016-08-22 |
| 1861876203 | Evergreen Optometry LLC | Optometrist | 2811 W 10th Ave, Suite C, Kennewick, WA 99336-3104 | 2015-07-15 |
| 1063786820 | Wade Whitman | Pharmacist | 2811 W 10th Ave, Kennewick, WA 99336-3104 | 2012-02-25 |
| 1538432620 | Anthony J Pennella | Pharmacist | 2811 W 10th Ave, Kennewick, WA 99336-3104 | 2012-02-20 |
| 1285907378 | Alice Marie Carvo | Pharmacist | 2811 W 10th Ave, Kennewick, WA 99336-3104 | 2012-02-20 |
| 1427321512 | Jamee Simmons | Pharmacist | 2811 W 10th Ave, Kennewick, WA 99336-3104 | 2012-02-20 |
| 1346513439 | Susan P Wilson | Pharmacist | 2811 W 10th Ave, Kennewick, WA 99336-3104 | 2012-02-20 |
| 1194957191 | Brandon Furness Od LLC | Optometrist | 2811 W 10th Ave, Ste C, Kennewick, WA 99336-3104 | 2009-08-10 |
| 1679519110 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 2811 W 10th Ave, Kennewick, WA 99336-3104 | 2006-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659854297 | Erin Brockus | Pharmacist | 7360 W Deschutes Ave, Kennewick, WA 99336-7774 | 2018-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395760 | Evelyn Tong | Pharmacist | 4229 122nd Ave Se, Bellevue, WA 98006-1915 | 2020-10-29 |
| 1356985345 | Nancy Celine Tran | Pharmacist | 906 S 38th Ct, Renton, WA 98055-5897 | 2019-11-01 |
| 1265087654 | Valorie Swensen | Pharmacist | 4500 Harrison St, Bellingham, WA 98229-3323 | 2019-08-02 |
| 1982110805 | Derek Matlock | Pharmacist | 3715 Ocean Beach Hwy # 2, Longview, WA 98632-4801 | 2017-12-15 |
| 1659880938 | Hazel Ann Feist | Pharmacist | 14406 Nw 20th Ave, Vancouver, WA 98685-8007 | 2017-09-29 |
| 1528586732 | Mayumi Robbins | Pharmacist | 410 9th Ave N Fl 7, Seattle, WA 98109-4708 | 2017-09-07 |
| 1699293688 | Jin Man Choe | Pharmacist | 105 W 8th Ave Ste 350, Spokane, WA 99204-2312 | 2017-08-30 |
| 1821457813 | Marie Cermak | Pharmacist | 12333 Ne 130th Ln # Lane415, Kirkland, WA 98034-7467 | 2016-02-18 |
| 1902281959 | Carmen Joy Berg | Pharmacist | 2320 South Salnave Road, Medical Lake, WA 99022 | 2015-07-20 |
| 1639574981 | Loi Chau | Pharmacist | 601 Broadway Rm 117, Seattle, WA 98122-5330 | 2014-10-29 |
| Find all providers with the same taxonomy | ||||
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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.