1902075021 NPI number — MR. RICHARD CHU RPH

Table of content: MR. RICHARD CHU RPH (NPI 1902075021)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902075021 NPI number — MR. RICHARD CHU RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHU
Provider First Name:
RICHARD
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
RPH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902075021
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
125 WORTH STREET BOX 22 RM 901
Provider Second Line Business Mailing Address:
NYCDOHMH DIVISION OF DISEASE CONTROL
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10013-4006
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-442-8468
Provider Business Mailing Address Fax Number:
212-442-8452

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
455 FIRST AVENUE RM 147
Provider Second Line Business Practice Location Address:
NYCDOHMH BUREAU OF PUBLIC HEALTH PHARMACY DEPARTMENT
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-9102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-447-2209
Provider Business Practice Location Address Fax Number:
212-442-2689
Provider Enumeration Date:
02/22/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  5917570 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 591570 . This is a "NYS DEPARTMENT OF EDUCATI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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