Individual provider Active NPI

Benny Yiu

  • Pharmacist
  • Lorain, OH
National Provider Identifier
1063715233
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
06006676 Issued in OH
Practice address
3711 S Hogan Dr
Lorain, OH 44053-1416
Phone
(440) 522-9903
NPI assigned
Dec 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 06006676 OH Primary

Addresses

Primary practice location

3711 S Hogan Dr
Lorain, OH 44053-1416

Mailing address

3711 S Hogan Dr
Lorain, OH 44053-1416
Phone (440) 522-9903

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

State licenses

LicenseStateTypeSpecialty
06006676OHMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1063715233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 S HOGAN DR",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531416",
            "telephone_number": "440-522-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 S HOGAN DR",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531416",
            "telephone_number": "440-522-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIU",
        "first_name": "BENNY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "06006676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.