Active NPI
Sally Wu
- Pharmacist
- New York, NY
National Provider Identifier
1487316980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 068407
- Practice address
- 100 Delancey St
New York, NY 10002-3202 - Phone
- (212) 253-0270
- NPI assigned
- Oct 12, 2021
- Last updated
- Dec 22, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 068407 | NY | Primary |
Addresses
Primary practice location
100 Delancey St
New York, NY 10002-3202
Mailing address
100 Delancey St
New York, NY 10002-3202
Other practice location 1
459 Broadway
New York, NY 10013-3001
Phone (212) 219-2658
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 068407 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Current | Accepting new patients | |
| Duane Reade | Past | Accepting new patients | |
| Duane Reade | Past | Accepting new patients |
Locations
459 Broadway
New York, NY 10013
Phone (212) 219-2658
Organizations & group practices 3
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": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1487316980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DELANCEY ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100023202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DELANCEY ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100023202",
"telephone_number": "212-253-0270"
}
],
"practiceLocations": [
{
"address_1": "459 Broadway",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100133001",
"country_code": "US",
"telephone_number": "212-219-2658",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WU",
"first_name": "SALLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-12",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "068407",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "459 Broadway",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100133001",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 22, 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.