Active NPI
Jin Yu, PHARM.D.
- Pharmacist
- New Boston, TX
National Provider Identifier
1497150445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55919
- Practice address
- 800 James Bowie Dr
New Boston, TX 75570-2334 - Phone
- (903) 628-6561
- Fax
- (903) 628-5678
- NPI assigned
- Nov 1, 2014
- 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 | 55919 | TX | Primary |
Addresses
Primary practice location
800 James Bowie Dr
New Boston, TX 75570-2334
Mailing address
6210 Gibson LN Apt 6301
Texarkana, TX 75503-1258
Phone (407) 454-3743
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 |
|---|---|---|---|
| 55919 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1497150445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 GIBSON LN APT 6301",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755031258",
"telephone_number": "407-454-3743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 JAMES BOWIE DR",
"city": "NEW BOSTON",
"state": "TX",
"postal_code": "755702334",
"telephone_number": "903-628-6561",
"fax_number": "903-628-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "JIN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-01",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Boston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.