Active NPI
Kwok Hung Ip
- Pharmacist
- Tucson, AZ
National Provider Identifier
1073912903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S020807
- Practice address
- 1350 N Silverbell Rd
Tucson, AZ 85745-2228 - Phone
- (520) 622-2979
- Fax
- (520) 623-3942
- NPI assigned
- Aug 15, 2014
- Last updated
- Aug 17, 2020
- 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 | S020807 | AZ | Primary |
Addresses
Primary practice location
1350 N Silverbell Rd
Tucson, AZ 85745-2228
Mailing address
2779 W Greenstreak Dr
Tucson, AZ 85741-5260
Phone (609) 558-9845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S020807 | Other | AZ | AZ STATE BOARD OF PHARMACY LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| S020807 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | Past | Accepting new patients | |
| Albertsons LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1073912903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2779 W GREENSTREAK DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857415260",
"telephone_number": "609-558-9845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 N SILVERBELL RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452228",
"telephone_number": "520-622-2979",
"fax_number": "520-623-3942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IP",
"first_name": "KWOK HUNG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-15",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ STATE BOARD OF PHARMACY LICENSE",
"identifier": "S020807",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.