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SOO HYUN NAM PHARM.D
NPI 1043646045
Pharmacist in Leonia, NJ

Active since September 23, 2013
410 BROAD AVE, LEONIA, NJ 07605(201) 592-2201(201) 242-0499 Get Directions Write a Review

NPPES record last updated: November 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Soo Hyun Nam Pharm.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOO HYUN NAM PHARM.D (NPI 1043646045) is an individual pharmacist in Leonia, New Jersey, licensed in New Jersey (28RI03580500) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1043646045
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSOO HYUN NAMCredential: PHARM.D
Location Address410 BROAD AVELeonia, NJ 07605-1618
Mailing Address410 Broad AveLeonia, NJ 07605-1618 · (201) 592-2201 · Fax (201) 242-0499
Phone(201) 592-2201
Fax(201) 242-0499
Sole ProprietorNo
Enumeration DateSeptember 23, 2013
Last NPPES UpdateNovember 19, 2023
NPPES CertifiedNovember 19, 2023
✔ NPI 1043646045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in NJ · 28RI03580500✔ Licensed in NY · 058826
Definition
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.
410 BROAD AVE, Leonia, NJ 07605
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHAEYOUNG JEON
Pharmacist
410 BROAD AVE
LEONIA, NJ 07605
Bergen County (201) 592-2201
NEW JERSEY CVS PHARMACY LLC
Pharmacy
410 BROAD AVE
LEONIA, NJ 07605
Bergen County (201) 592-2201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soo Nam's NPI number?

The NPI number for Soo Nam is 1043646045. It was assigned to this individual provider in the NPPES registry on September 23, 2013.

Where is Soo Nam located?

Soo Nam practices at 410 Broad Ave, Leonia, NJ 07605. The listed phone number is (201) 592-2201.

What is Soo Nam's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Soo Nam was last updated on November 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.