MEDICARE: MR. HOJIN NA RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	046725	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	046725	OTHER	NY	STATE LIC #

General Provider Information

NPI Number	:	1366624264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HOJIN NA RPH

Provider Business Mailing Address
First Line	:	1916 WILLIAMSBRIDGE RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-1605
Country	:	US
Telephone Number	:	718-239-7569
Fax Number	:

Provider Business Practice Location Address
First Line	:	1916 WILLIAMSBRIDGE RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-1605
Country	:	US
Telephone Number	:	718-239-7569
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2007
Last Update Date	:	02/04/2021

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