MEDICARE: JAMES KOH PHARMD

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	073569	NY

General Provider Information

NPI Number	:	1851259865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES KOH PHARMD

Provider Business Mailing Address
First Line	:	4810 206TH ST
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-1050
Country	:	US
Telephone Number	:	917-836-3447
Fax Number	:

Provider Business Practice Location Address
First Line	:	4810 206TH ST
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-1050
Country	:	US
Telephone Number	:	917-836-3447
Fax Number	:

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

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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Directions to “ JAMES KOH PHARMD” Practice Location

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