Active NPIIndividual providerSole proprietor

Kyong Il Yu, RPH

Pharmacist in Fortlee, New Jersey

NPI Number1306082813
Practice location
1400 Anderson Ave, Fortlee, NJ 07024-4405
Fax
201-224-8871
Last updated
March 22, 2012

Kyong Il Yu is a Pharmacist based in Fortlee, NJ. Kyong Il Yu practices in Fortlee, NJ and has the professional credentials of RPH. The NPI Number for Kyong Il Yu is 1306082813 and holds a License No. 045031 (NY). The current practice location address for Kyong Il Yu is 1400 Anderson Ave, Fortlee, NJ 07024-4405 and can be reached out via phone at 201-224-8877 and via fax at 201-224-8871.

Provider Profile Details

NPI Number
1306082813
Provider Name
Kyong Il Yu
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
1400 Anderson Ave, Fortlee, NJ 07024-4405
Phone Number
201-224-8877
Fax Number
201-224-8871
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
January 5, 2009
Last Update Date
March 22, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1400 Anderson Ave
Fortlee, NJ 07024-4405
Zip
07024-4405
Phone Number
201-224-8877
Fax Number
201-224-8871
Fortlee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
112 Ehret Ave
Harrington Park, NJ 07640
City
Harrington Park
State
NJ
Zip
07640
Phone Number
646-996-9503

License Information

License Number (1)
045031
License State (1)
NY
Taxonomy (1)
Pharmacist · 183500000X · Primary
License Number (2)
28ri03343800
License State (2)
NJ
Taxonomy (2)
Pharmacist · 183500000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kyong Il Yu, RPH?

The NPI number of Kyong Il Yu, RPH is 1306082813. It was assigned on January 5, 2009 and is currently active in the NPPES registry.

What is the specialty of Kyong Il Yu, RPH?

Kyong Il Yu, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NY under license number 045031.

Where does Kyong Il Yu, RPH practice?

The practice location is 1400 Anderson Ave, Fortlee, NJ 07024-4405. The office can be reached at 201-224-8877 (phone) or 201-224-8871 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306082813 directly on the NPPES registry website.

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