Active NPI
Mireuk CHI, PHARM.D.
- Pharmacist
- Endwell, NY
National Provider Identifier
1356664452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I063962
- Practice address
- 511 Hooper Rd
Endwell, NY 13760-1907 - Phone
- (607) 754-6880
- NPI assigned
- Mar 4, 2010
- Last updated
- Dec 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00065802 | WA | |
| Pharmacist | 183500000X | I063962 | NY | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH00065802 | WA |
Addresses
Primary practice location
511 Hooper Rd
Endwell, NY 13760-1907
Mailing address
20 Part Street
Apt 3-14
Albany, NY 12207
Phone (518) 424-9260
Other practice location 1
MEDDAC-K/Casey TMC
Unit#15609
Apo, AP 96224
Phone (315) 730-4692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I063962 | Other | NY | PHARMACIST 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I063962 | NY | MD | Pharmacist |
| PH00065802 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545782400000",
"number": "1356664452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PART STREET",
"address_2": "APT 3-14",
"city": "ALBANY",
"state": "NY",
"postal_code": "12207",
"telephone_number": "518-424-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 HOOPER RD",
"city": "ENDWELL",
"state": "NY",
"postal_code": "137601907",
"telephone_number": "607-754-6880"
}
],
"practiceLocations": [
{
"address_1": "MEDDAC-K/Casey TMC",
"address_2": "Unit#15609",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AP",
"postal_code": "96224",
"country_code": "US",
"telephone_number": "315-730-4692",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "CHI",
"first_name": "MIREUK",
"name_prefix": "Ms.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-04",
"last_updated": "2018-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00065802",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I063962",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH00065802",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "I063962",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Endwell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.