Active NPI
William Koo, PHARMD
- Pharmacist
- Flushing, NY
National Provider Identifier
1639400302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 054023
- Practice address
- 13685 Roosevelt Ave
Flushing, NY 11354 - Phone
- (718) 358-8801
- NPI assigned
- Jan 20, 2010
- Reactivated
- Oct 24, 2018
- 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 | 054023 | NY | Primary |
Addresses
Primary practice location
13685 Roosevelt Ave
Flushing, NY 11354
Mailing address
80 Beekman St.
Apt. #4E
New York, NY 10038
Phone (917) 440-1895
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054023 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koo and Co Inc | Past | Accepting new patients | |
| Koo & Co., Inc | Past | Accepting new patients |
Organizations & group practices 2
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
- Flushing, NY
- NPI 1265446082
-
- Community/Retail Pharmacy
- Flushing, NY
- NPI 1255358941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1639400302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 BEEKMAN ST.",
"address_2": "APT. #4E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10038",
"telephone_number": "917-440-1895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13685 ROOSEVELT AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11354",
"telephone_number": "718-358-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOO",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-20",
"last_updated": "2018-10-24",
"deactivation_date": "2018-04-12",
"reactivation_date": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "054023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.