Active NPI
Wai Kit Tse
- Pharmacist
- Jackson Heights, NY
National Provider Identifier
1639326465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043620
- Practice address
- 8005 Roosevelt Ave
Jackson Heights, NY 11372-6721 - Phone
- (718) 478-1135
- Fax
- (718) 478-5056
- NPI assigned
- Aug 22, 2008
- 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 | 043620 | NY | Primary |
Addresses
Primary practice location
8005 Roosevelt Ave
Jackson Heights, NY 11372-6721
Mailing address
8005 Roosevelt Ave
Jackson Heights, NY 11372-6721
Phone (718) 478-1135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02720987 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043620 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boreum Drugs Corp | Current | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1225088909
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": "1499385600000",
"number": "1639326465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8005 ROOSEVELT AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726721",
"telephone_number": "718-478-1135",
"fax_number": "718-478-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8005 ROOSEVELT AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726721",
"telephone_number": "718-478-1135",
"fax_number": "718-478-5056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSE",
"first_name": "WAI KIT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-22",
"last_updated": "2017-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "043620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02720987",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.