Active NPI
Jin Hao Yu, PHARMD
- Pharmacist
- New York, NY
National Provider Identifier
1083274427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 065970
- Practice address
- 10 Bowery
New York, NY 10013-5101 - Phone
- (212) 267-8882
- Fax
- (212) 267-8881
- NPI assigned
- Jun 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pharmacist | 183500000X | 065970 | NY | Primary |
Addresses
Primary practice location
10 Bowery
New York, NY 10013-5101
Mailing address
10 Bowery
New York, NY 10013-5101
Phone (212) 267-8882
Other practice location 1
77 W 24th St Apt 4J
New York, NY 10010-3217
Phone (646) 644-0264
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065970 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health City Pharmacy Corp | Past | Accepting new patients |
Organizations & group practices 1
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": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1083274427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BOWERY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100135101",
"telephone_number": "212-267-8882",
"fax_number": "212-267-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BOWERY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100135101",
"telephone_number": "212-267-8882",
"fax_number": "212-267-8881"
}
],
"practiceLocations": [
{
"address_1": "77 W 24th St Apt 4J",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100103217",
"country_code": "US",
"telephone_number": "646-644-0264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YU",
"first_name": "JIN HAO",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-18",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "065970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.