Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043646045 Individual Practitioner Female Practitioner

Dr. Soo Hyun Nam , PharmD

Pharmacist • Leonia, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Soo Nam, PharmD is a registered healthcare professional specializing in Pharmacist in Leonia, NJ. Practice services are available at 410 BROAD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

410 Broad Ave

Leonia, NJ 076051618

Telephone 2015922201
Fax 2012420499
Associated Practice Facility / Clinic
🏢 New Jersey Cvs Pharmacy Llc Facility NPI 1134211733

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Leonia, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Leonia, NJ (8390 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-19
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NJ 28RI03580500

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License NY 058826

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Chaeyoung Jeon

Pharmacist

NPI 1023880465

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location November 19, 2023

Registered at 410 BROAD AVE, LEONIA, NJ 076051618 (Tel: 2015922201)

📍
Updated Business Mailing Address November 19, 2023

Registered at 410 BROAD AVE, LEONIA, NJ 076051618 (Tel: 2015922201)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2023

Pharmacist (License #058826 in NY)

NPI Profile Active May 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2014

Registered at 2160 LEMOINE AVE, FORT LEE, NJ 070246002 (Tel: 2013460002)

📍
Updated Business Mailing Address May 08, 2014

Registered at 2160 LEMOINE AVE, FORT LEE, NJ 070246002 (Tel: 2013460002)

👤
Provider Name / Credentials Updated May 08, 2014

Recorded as SOO NAM, PHARM.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2014

Pharmacist (License #28RI03580500 in NJ)

🟢
Initial NPI Registration & Enumeration September 23, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043646045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2013
Last Update: November 19, 2023
Sole Proprietor: No

Mailing Address

410 Broad Ave

Leonia, NJ 076051618

Phone: 2015922201

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.