Individual provider Active NPI

Sally Wu

  • Pharmacist
  • New York, NY
National Provider Identifier
1487316980
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
068407 Issued in NY
Practice address
100 Delancey St
New York, NY 10002-3202
Phone
(212) 253-0270
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
068407NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Duane Reade CurrentSince Apr 24, 2022 Accepting new patients
Duane Reade PastSince Dec 28, 2022 Accepting new patients
Duane Reade PastSince Oct 1, 2021 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.