Active NPI
Cho-Man Wu, R. PH
- Pharmacist
- Medford, NY
National Provider Identifier
1902119456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 054702
- Practice address
- 2950 Horseblock Rd
Medford, NY 11763-2543 - Phone
- (631) 286-9491
- NPI assigned
- Jul 26, 2010
- 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 | 054702 | NY | Primary |
Addresses
Primary practice location
2950 Horseblock Rd
Medford, NY 11763-2543
Mailing address
2950 Horseblock Rd
Medford, NY 11763-2543
Phone (631) 286-9491
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 |
|---|---|---|---|
| 054702 | NY | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1902119456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 HORSEBLOCK RD",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117632543",
"telephone_number": "631-286-9491",
"fax_number": "631-286-9224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 HORSEBLOCK RD",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117632543",
"telephone_number": "631-286-9491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "CHO-MAN",
"credential": "R. PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-26",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "054702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.