Active NPIIndividual provider

Mrs. Soojin V Moon, RPH

Pharmacist in Palisades Park, New Jersey

NPI Number1588963466
Practice location
119 Broad Ave, Palisades Park, NJ 07650
Fax
—
Last updated
October 21, 2022

Soojin Victoria Moon is a Pharmacist based in Palisades Park, NJ. Soojin Victoria Moon practices in Palisades Park, NJ and has the professional credentials of RPH. The NPI Number for Soojin Victoria Moon is 1588963466 and holds a License No. 28RI03679700 (NJ). The current practice location address for Soojin Victoria Moon is 119 Broad Ave, Palisades Park, NJ 07650 and can be reached out via phone at 201-592-0735.

Provider Profile Details

NPI Number
1588963466
Provider Name
Soojin Victoria Moon
Credential
RPH
Provider Entity Type
Individual
Gender
Female
Address
119 Broad Ave, Palisades Park, NJ 07650
Phone Number
201-592-0735
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
March 18, 2011
Last Update Date
October 21, 2022
Certification Date
October 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
119 Broad Ave
Palisades Park, NJ 07650
Zip
07650
Phone Number
201-592-0735
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
119 Broad Ave
Palisades Park, NJ 07650
City
Palisades Park
State
NJ
Zip
07650
Phone Number
347-756-0779

License Information

License Number (1)
28RI03679700
License State (1)
NJ
Taxonomy (1)
Pharmacist · 183500000X
License Number (2)
054602
License State (2)
NY
Taxonomy (2)
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Soojin V Moon, RPH?

The NPI number of Mrs. Soojin V Moon, RPH is 1588963466. It was assigned on March 18, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Soojin V Moon, RPH?

Mrs. Soojin V Moon, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03679700.

Where does Mrs. Soojin V Moon, RPH practice?

The practice location is 119 Broad Ave, Palisades Park, NJ 07650. The office can be reached at 201-592-0735 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588963466 directly on the NPPES registry website.

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