Active NPI
Tony Yu, RPH
- Pharmacist
- Roxbury, MA
National Provider Identifier
1003196577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH24819
- Practice address
- 1890 Columbus Ave
Pharmacy Department
Roxbury, MA 02119-1047 - Phone
- (617) 445-5457
- Fax
- (617) 445-5933
- NPI assigned
- Aug 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH24819 | MA | Primary |
Addresses
Primary practice location
1890 Columbus Ave
Pharmacy Department
Roxbury, MA 02119-1047
Mailing address
1890 Columbus Ave
Pharmacy Department
Roxbury, MA 02119-1047
Phone (617) 445-5457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH24819 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314403200000",
"number": "1003196577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 COLUMBUS AVE",
"address_2": "PHARMACY DEPARTMENT",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021191047",
"telephone_number": "617-445-5457",
"fax_number": "617-445-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 COLUMBUS AVE",
"address_2": "PHARMACY DEPARTMENT",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021191047",
"telephone_number": "617-445-5457",
"fax_number": "617-445-5933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "TONY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-27",
"last_updated": "2011-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH24819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.