Active NPI
Ricky Tse, RPH
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1619124450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 050214
- Practice address
- 194 Union Ave
Brooklyn, NY 11211-7412 - Phone
- (718) 387-8288
- NPI assigned
- Aug 22, 2008
- Last updated
- Aug 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 050214 | NY | Primary |
| Community/Retail Pharmacy | 3336C0003X | 027749 | NY |
Addresses
Primary practice location
194 Union Ave
Brooklyn, NY 11211-7412
Mailing address
194 Union Ave
Brooklyn, NY 11211-7412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02770794 | Medicaid | NY |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050214 | NY | MD | Pharmacist |
| 027749 | NY | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boreum Drugs Corp | Community/Retail Pharmacy | Past | Accepting new patients |
Organizations & group practices 1
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": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219363200000",
"number": "1619124450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 UNION AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112117412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 UNION AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112117412",
"telephone_number": "718-387-8288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSE",
"first_name": "RICKY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-22",
"last_updated": "2008-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "050214",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "027749",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02770794",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.