Active NPI
Irene Siu, RPH
- Pharmacist
- Staten Island, NY
National Provider Identifier
1861612350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044738
- Practice address
- 66 Covington Cir
Staten Island, NY 10312-1175 - Phone
- (718) 356-9816
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- 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 | 044738 | NY | Primary |
Addresses
Primary practice location
66 Covington Cir
Staten Island, NY 10312-1175
Mailing address
66 Covington Cir
Staten Island, NY 10312-1175
Phone (718) 356-9816
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 |
|---|---|---|---|
| 044738 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861612350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 COVINGTON CIR",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103121175",
"telephone_number": "718-356-9816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 COVINGTON CIR",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103121175",
"telephone_number": "718-356-9816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIU",
"first_name": "IRENE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "044738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
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.