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Deactivated NPI 1235791583 Deactivated / Inactive NPI Male Practitioner

Philip Koh

Pharmacist • Bronx, NY

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Philip Koh has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2019
NPI Deactivation Date April 06, 2021
Total Practice Duration ~2 Years of Practice (2019 – 2021)

Professional Overview & Biography Verified Profile Summary

Philip Koh was a registered Pharmacist practicing in Bronx, NY. Throughout an active medical career spanning 2 years, Philip Koh provided care at the practice location at 3050 WHITE PLAINS RD until profile deactivation on 2021-04-06.

Practice Location & Contact Primary Location

Practice Address

3050 White Plains Rd

Bronx, NY 104678154

Telephone 7188826000
Associated Practice Facility / Clinic
🏢 White Plains Rd Medical Pc Facility NPI 1619987211

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1313 Specialists

Practicing in Bronx, NY (23779 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-12
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 055056

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Dr. Michelle Williams , MD

Psychiatry & Neurology - Neurology

NPI 1013120849

Doctor of Medicine (M.D.)

Joseph Huertas

Social Worker - Clinical

NPI 1033584529
NPI 1053704585

Licensed Master Social Worker

Udo Ijomah

Registered Nurse

NPI 1063045060
Isaura Quinones , RN

Registered Nurse

NPI 1063726602

Registered Nurse

George Edwards

Licensed Practical Nurse

NPI 1124719877

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location December 12, 2023

Registered at 3050 WHITE PLAINS RD, BRONX, NY 104678154 (Tel: 7188826000)

📍
Updated Practice Location June 27, 2023

Registered at 6 PUMPHOUSE RD, BREWSTER, NY 105092903 (Tel: 6465524826)

📍
Updated Business Mailing Address June 27, 2023

Registered at 6 PUMPHOUSE RD, BREWSTER, NY 105092903 (Tel: 6465524826)

📍
Updated Practice Location December 12, 2021

Registered at 984 N BROADWAY STE L06, YONKERS, NY 107011319 (Tel: 9147515432)

📍
Updated Business Mailing Address December 12, 2021

Registered at 25 BARKER ST APT 402, MOUNT KISCO, NY 105491630

👤
Provider Name / Credentials Updated December 12, 2021

Recorded as PHILIP KOH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2021

Pharmacist (License #055056 in NY)

⚠️
NPI Profile Deactivated April 06, 2021

Record deactivated on April 06, 2021

📍
Updated Practice Location January 29, 2021

Registered at 25 BARKER ST, MOUNT KISCO, NY 105491629 (Tel: 0000000000)

📍
Updated Business Mailing Address January 29, 2021

Registered at 25 BARKER ST, MOUNT KISCO, NY 105491629

NPI Profile Active July 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2019

Registered at 25 BARKER ST APT 402, MOUNT KISCO, NY 105491630 (Tel: 6465524826)

📍
Updated Business Mailing Address July 07, 2019

Registered at 25 BARKER ST APT 402, MOUNT KISCO, NY 105491630 (Tel: 6465524826)

👤
Provider Name / Credentials Updated July 07, 2019

Recorded as PHILIP KOH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2019

Pharmacist (License #055056 in NY)

🟢
Initial NPI Registration & Enumeration July 07, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235791583
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2019
Last Update: December 12, 2023
Deactivation Date: April 06, 2021
Sole Proprietor: No

Mailing Address

6 Pumphouse Rd

Brewster, NY 105092903

Phone: 6465524826

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.