Individual provider Active NPI

David P Su, PHARMD

  • Pharmacist
  • New York, NY
National Provider Identifier
1851818694
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
063221 Issued in NY
Practice address
144 W 72ND St
New York, NY 10023-3344
Phone
(212) 439-4718
Fax
(212) 439-4719
NPI assigned
Aug 23, 2017
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 063221 NY Primary

Addresses

Primary practice location

144 W 72ND St
New York, NY 10023-3344

Mailing address

8808 Justice Ave Apt 5J
Elmhurst, NY 11373-5332
Phone (973) 216-1891

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

LicenseStateTypeSpecialty
063221NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ava Kirellous LTD CurrentSince Sep 23, 2024 Accepting new patients
Ava Kirellous LTD CurrentSince Sep 23, 2024 Accepting new patients
Rite Aid of New York Inc Past Accepting new patients
Rite Aid of New York Inc Past Accepting new patients

Locations

144 W 72nd St
New York, NY 10023
Phone (212) 437-4718

Organizations & group practices 4

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1851818694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 JUSTICE AVE APT 5J",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735332",
            "telephone_number": "973-216-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233344",
            "telephone_number": "212-439-4718",
            "fax_number": "212-439-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.