Active NPI
Sudan Liu, PHARMD
- Pharmacist
- White Plains, NY
National Provider Identifier
1871083089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 058246
- Practice address
- 276 Main St
White Plains, NY 10601-2443 - Phone
- (914) 607-3939
- NPI assigned
- May 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 058246 | NY | Primary |
Addresses
Primary practice location
276 Main St
White Plains, NY 10601-2443
Mailing address
276 Main St
White Plains, NY 10601-2443
Phone (914) 607-3939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058246 | Other | NY | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 058246 | NY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1871083089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 MAIN ST",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106012443",
"telephone_number": "914-607-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 MAIN ST",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106012443",
"telephone_number": "914-607-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "SUDAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "058246",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "058246",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.