Active NPI
Peter W Ip, RPH
- Pharmacist
- Yonkers, NY
National Provider Identifier
1194048546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29416
- Practice address
- 642 McLean Ave
Yonkers, NY 10705-4740 - Phone
- (914) 963-0888
- Fax
- (914) 963-3879
- NPI assigned
- Mar 11, 2010
- Last updated
- Mar 11, 2010
- 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 | 29416 | NY | Primary |
Addresses
Primary practice location
642 McLean Ave
Yonkers, NY 10705-4740
Mailing address
642 McLean Ave
Yonkers, NY 10705-4740
Phone (914) 963-0888
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 |
|---|---|---|---|
| 29416 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 475 Pharmacy Corp | Past | Accepting new patients | |
| 475 Pharmacy Corp | Pharmacist | 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": "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": []
}Other providers in Yonkers, NY
Sources for this page
- 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.