Individual provider Active NPI

Ricky Sou

  • Pharmacist
  • Forest Hills, NY
National Provider Identifier
1275079337
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
062649 Issued in NY
Practice address
6352 108TH St
Forest Hills, NY 11375-1350
Phone
(917) 832-6494
NPI assigned
Jan 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 062649 NY Primary

Addresses

Primary practice location

6352 108TH St
Forest Hills, NY 11375-1350

Mailing address

3165 138TH St Apt 1a
Flushing, NY 11354-2635
Phone (347) 720-9260

Other practice location 1

3165 138th St Apt 1A
Flushing, NY 11354-2635
Phone (347) 720-9260

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
062649NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Swift RX Pharmacy Inc. Current Accepting new patients
New Century Pharmacy Inc 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": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275079337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 138TH ST APT 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542635",
            "telephone_number": "347-720-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6352 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751350",
            "telephone_number": "917-832-6494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3165 138th St Apt 1A",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113542635",
            "country_code": "US",
            "telephone_number": "347-720-9260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOU",
        "first_name": "RICKY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "062649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.