Active NPI
475 Pharmacy Corp
Doing business as McLean Pharmacy
- Pharmacist
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16925
- Legal business name
- 475 PHARMACY CORP
- Doing business as
- McLean Pharmacy
- Practice address
- 642 McLean Ave
Yonkers, NY 10705-4740 - Phone
- (914) 963-0888
- Fax
- (914) 963-3879
- NPI assigned
- Oct 24, 2006
- Last updated
- Feb 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Peter Wai Lam Ip, RPH
- Title
- Supervising Pharmacist
- Phone
- (914) 963-0888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16925 | NY | Primary |
Addresses
Primary practice location
642 McLean Ave
Yonkers, NY 10705-4740
Mailing address
642 McLean Ave
Yonkers, NY 10705-4740
Phone (914) 963-0888
Other names 1
- MCLEAN PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- 475 Pharmacy Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
642 McLean Ave
Yonkers, NY 10705
Phone (914) 963-0888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Yonkers, NY
- NPI 1194048546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1508940768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 MCLEAN AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107054740",
"telephone_number": "914-963-0888",
"fax_number": "914-963-3879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 MCLEAN AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107054740",
"telephone_number": "914-963-0888",
"fax_number": "914-963-3879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "475 PHARMACY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2008-02-19",
"status": "A",
"authorized_official_last_name": "IP",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "WAI LAM",
"authorized_official_title_or_position": "SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "914-963-0888",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "16925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MCLEAN PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Yonkers, NY
- 200 West Optics, LLC (MyEyeDr.)
- 200 West Optics, LLC (MyEyeDr.)
- 211 McLean Ave. Pharmacy, Inc. (McLean Ave Pharmacy)
- 45 Ludlow Pharmacy & Surgical Supplies Corp
- 475 Pharmacy Corp (McLean Pharmacy)
- 914Hudson Medical P.C.
- A & a Medical Supply Co., Inc.
- A Stat Transit LLC
- A.J.a.J. Inc (Westriver Pharmacy)
- A.Khakee M.D.P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.