Active NPI
Dawei Xia
- Pharmacist
- New York, NY
National Provider Identifier
1013558618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064354
- Practice address
- 622 W 168TH St
New York, NY 10032-3720 - Phone
- (212) 305-2500
- NPI assigned
- Oct 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 064354 | NY | Primary |
Addresses
Primary practice location
622 W 168TH St
New York, NY 10032-3720
Mailing address
1321 Foster Ave
Brooklyn, NY 11230-1511
Other practice location 1
4515 Greenpoint Ave
Sunnyside, NY 11104-2409
Phone (718) 786-6600
Other practice location 2
4515 Greenpoint Ave
Sunnyside, NY 11104
Phone (718) 786-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064354 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Sunnyside, NY
- NPI 1568957322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1013558618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 FOSTER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112301511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W 168TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720",
"telephone_number": "212-305-2500"
}
],
"practiceLocations": [
{
"address_1": "4515 Greenpoint Ave",
"address_purpose": "LOCATION",
"city": "Sunnyside",
"state": "NY",
"postal_code": "111042409",
"country_code": "US",
"telephone_number": "718-786-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4515 Greenpoint Ave",
"address_purpose": "LOCATION",
"city": "Sunnyside",
"state": "NY",
"postal_code": "11104",
"country_code": "US",
"telephone_number": "718-786-6600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "XIA",
"first_name": "DAWEI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "064354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.