Individual provider Active NPI

Mary H Cheung, RPH

  • Pharmacist
  • New York, NY
National Provider Identifier
1902081607
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43788 Issued in NY
Practice address
173 Canal St
New York, NY 10013-4510
Phone
(212) 343-1517
Fax
(646) 292-5191
NPI assigned
Jan 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 43788 NY Primary

Addresses

Primary practice location

173 Canal St
New York, NY 10013-4510

Mailing address

173 Canal St
New York, NY 10013-4510
Phone (212) 343-1517

Other identifiers 1

IdentifierTypeStateIssuer
02052642MedicaidNY

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

LicenseStateTypeSpecialty
43788NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tyka Holdings Inc Current Accepting new patients

Locations

173 Canal St
New York, NY 10013
Phone (212) 343-1517

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1902081607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 CANAL ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134510",
            "telephone_number": "212-343-1517",
            "fax_number": "646-292-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 CANAL ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134510",
            "telephone_number": "212-343-1517",
            "fax_number": "646-292-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "MARY",
        "middle_name": "H",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-01",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "43788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02052642",
            "state": "NY"
        }
    ],
    "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 Jun 15, 2009; 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.