Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1235695016 Deactivated / Inactive NPI Female Practitioner

Dr. So Hyun Bae , PharmD

Pharmacist • Blue Bell, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. So Hyun Bae has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 16, 2019
NPI Deactivation Date June 22, 2020
Total Practice Duration ~1 Years of Practice (2019 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. So Hyun Bae, PharmD was a registered Pharmacist practicing in Blue Bell, PA. Throughout an active medical career spanning 1 years, Dr. Bae provided care at the practice location at 702 DEKALB PIKE until profile deactivation on 2020-06-22.

Practice Location & Contact Primary Location

Practice Address

702 Dekalb Pike

Blue Bell, PA 194221214

Telephone 6106160608
Associated Practice Facility / Clinic
🏢 Evergreen Pharmacy Ii, Inc. Facility NPI 1447722632

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Blue Bell, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
26 Specialists

Practicing in Blue Bell, PA (13353 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License PA RP453074

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
NPI 1801651385

Registered Pharmacist

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated June 22, 2020

Record deactivated on June 22, 2020

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Updated Practice Location February 01, 2020

Registered at 1106 MEADOW DR, BLUE BELL, PA 194223301 (Tel: 2676180734)

NPI Profile Active February 16, 2019

NPI status registered as active in NPPES database

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Updated Practice Location February 16, 2019

Registered at 702 DEKALB PIKE, BLUE BELL, PA 194221214 (Tel: 6106160608)

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Updated Business Mailing Address February 16, 2019

Registered at 1106 MEADOW DR, BLUE BELL, PA 194223301

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Provider Name / Credentials Updated February 16, 2019

Recorded as SO HYUN BAE, PHARMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2019

Pharmacist (License #RP453074 in PA)

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Initial NPI Registration & Enumeration February 16, 2019

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: 1235695016
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2019
Last Update: February 16, 2019
Deactivation Date: June 22, 2020

Mailing Address

1106 Meadow Dr

Blue Bell, PA 194223301

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.