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Philip Koh

Pharmacist β€’ Bronx, NY

Active NPI 1235791583 Individual Practitioner Male Practitioner
Practice location in NPPES

4137 Laconia Ave
Bronx, NY 104664909

Call 3478998555 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4137 Laconia Ave

Bronx, NY 104664909

Telephone 3478998555
Organization at the Same NPPES Address or Phone
Edenwald Pharmacy Inc. Facility NPI 1568002756

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bronx and New York

1,269 active clinicians are listed under Pharmacist with a practice address in Bronx, NY (23,170 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bronx

0% of these 1,269 clinicians have the CMS telehealth indicator.

0% of these 1,269 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-10-21
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

18 Historical Events
πŸ“
Updated Practice Location October 21, 2026

Registered at 4137 LACONIA AVE, BRONX, NY 104664909 (Tel: 3478998555)

πŸ“
Updated Practice Location December 12, 2023

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

πŸ“
Updated Practice Location June 27, 2023

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

πŸ“
Updated Business Mailing Address June 27, 2023

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

πŸ“
Updated Practice Location December 12, 2021

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

πŸ“
Updated Business Mailing Address December 12, 2021

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

πŸ‘€
Provider Name / Credentials Updated December 12, 2021

Recorded as PHILIP KOH

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

Pharmacist (license number reported to NPPES: NY 055056)

πŸ”„
NPI Profile Reactivated December 08, 2021

Record officially reactivated for active practice on December 08, 2021

⚠️
NPI Profile Deactivated April 06, 2021

NPPES lists this NPI as deactivated as of April 06, 2021; the reason is not published.

πŸ“
Updated Practice Location January 29, 2021

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

πŸ“
Updated Business Mailing Address January 29, 2021

Registered at 25 BARKER ST, MOUNT KISCO, NY 105491629

βœ…
NPI Profile Active July 07, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 07, 2019

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

πŸ“
Business Mailing Address (Initial Record) July 07, 2019

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

πŸ‘€
Provider Name / Credentials (Initial Record) July 07, 2019

Recorded as PHILIP KOH

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

Pharmacist (license number reported to NPPES: NY 055056)

🟒
Initial NPI Registration & Enumeration July 07, 2019

First registered as active Individual Practitioner in NPPES Database.

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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: October 21, 2026
Sole Proprietor: No

Other Pharmacists in Bronx

All Pharmacists in Bronx

Mailing Address

6 Pumphouse Rd

Brewster, NY 105092903

Phone: 6465524826

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.