475 Pharmacy Corp

Primary specialty

PharmacistTaxonomy code 183500000X

License

16925 Issued in NY

Legal business name

475 PHARMACY CORP

Practice address

642 McLean Ave
Yonkers, NY 10705-4740

Phone

(914) 963-0888

Fax

(914) 963-3879

NPI assigned

Oct 24, 2006

Organization subpart

No

Name

Mr. Peter Wai Lam Ip, RPHNPI 1194048546

Title

Supervising Pharmacist

Phone

(914) 963-0888

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter W Ip, RPH

  • Pharmacist
  • Yonkers, NY
  • NPI 1194048546
  NPD (past) Authorized official

Tax ID family

475 Pharmacy Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 475 Pharmacy Corp

  • Pharmacy
  • Yonkers, NY
  • NPI 1306957725
  NPD tax ID

• MCLEAN PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2008.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00558205",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCLEAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 200 West Optics, LLC
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• 45 Ludlow Pharmacy & Surgical Supplies Corp
• 475 Pharmacy Corp
• 914Hudson Medical P.C.
• A & a Medical Supply Co., Inc.
• A Stat Transit LLC
• A.J.a.J. Inc
• A.Khakee M.D.P.C.

• All providers in Yonkers, NY
• Pharmacist in New York

• 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.

Verify at the official NPI Registry.