Active NPI
Amy Chan
- Pharmacist
- New Windsor, NY
National Provider Identifier
1033646013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I042917
- Practice address
- 393 Windsor Hwy
New Windsor, NY 12553-7939 - Phone
- (845) 561-0064
- NPI assigned
- May 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RJ07133 | NJ | |
| Pharmacist | 183500000X | I042917 | NY | Primary |
Addresses
Primary practice location
393 Windsor Hwy
New Windsor, NY 12553-7939
Mailing address
550 Lynn St
Ridgewood, NJ 07450-1902
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 |
|---|---|---|---|
| 28RJ07133 | NJ | MD | Pharmacist |
| I042917 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495411200000",
"number": "1033646013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 LYNN ST",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074501902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 WINDSOR HWY",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125537939",
"telephone_number": "845-561-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-22",
"last_updated": "2017-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RJ07133",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I042917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Windsor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.