Jessica H. Koo
Pharmacist in Merrillville, IN. Individual provider (NPI-1).
NPI number1881966992
StatusActive
Last updated in NPPESFeb 4, 2012
Details
- NPI
- 1881966992
- Entity type
- Individual (NPI-1)
- Name
- Jessica H. Koo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 4, 2012
- Last updated
- Feb 4, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 26016170A | IN | Yes |
| 183500000X | Pharmacist | 051037814 | IL |
Practice location
8001 BroadwayMerrillville, IN 46410-5500
Phone 219-736-8067
Mailing address
1025 Rescobie CtSchererville, IN 46375-2977
Phone 219-322-4647 · Fax 219-322-4647
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 52 Pharmacist providers in Merrillville · All 2,737 providers in Merrillville
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