Individual provider Active NPI

Samuel K Choy, R.PH

  • Pharmacist
  • Albuquerque, NM
National Provider Identifier
1629298880
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
00004023 Issued in NM
Practice address
7120 Wyoming NE
Suite 7B
Albuquerque, NM 87109-4887
Phone
(505) 346-0533
Fax
(505) 346-0532
NPI assigned
Apr 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 00004023 NM Primary

Addresses

Primary practice location

7120 Wyoming NE
Suite 7B
Albuquerque, NM 87109-4887

Mailing address

7120 Wyoming Blvd NE
7B
Albuquerque, NM 87109-4887
Phone (505) 346-0533

Other identifiers 1

IdentifierTypeStateIssuer
RP00004023OtherNMPHARMACIST LICENSE

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

LicenseStateTypeSpecialty
00004023NMMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jaysix Enterprises LLC 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": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629298880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 WYOMING BLVD NE",
            "address_2": "7B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094887",
            "telephone_number": "505-346-0533",
            "fax_number": "505-346-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 WYOMING NE",
            "address_2": "SUITE 7B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094887",
            "telephone_number": "505-346-0533",
            "fax_number": "505-346-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOY",
        "first_name": "SAMUEL",
        "middle_name": "K",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "00004023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "RP00004023",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.