Peter W Ip, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

29416 Issued in NY

Practice address

642 McLean Ave
Yonkers, NY 10705-4740

Phone

(914) 963-0888

Fax

(914) 963-3879

NPI assigned

Mar 11, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• 475 Pharmacy Corp

  • Pharmacy
  • Yonkers, NY
  • NPI 1306957725
  NPD (past) Authorized official
• 475 Pharmacy Corp

  • Pharmacist
  • Yonkers, NY
  • NPI 1508940768
  NPD (past) Authorized official

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1194048546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054740",
            "telephone_number": "914-963-0888",
            "fax_number": "914-963-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054740",
            "telephone_number": "914-963-0888",
            "fax_number": "914-963-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IP",
        "first_name": "PETER",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "29416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Yonkers, NY
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.