Individual provider Active NPI

Jean Ding, B.S. PHARM., RPH

  • Pharmacist
  • Fresh Meadows, NY
National Provider Identifier
1053633222
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
I045773-1 Issued in NY
Practice address
6822 Fresh Meadow LN
Fresh Meadows, NY 11365-3421
Phone
(917) 477-0070
Fax
(917) 477-0074
NPI assigned
Feb 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25952 NJ
Pharmacist 183500000X I045773-1 NY Primary

Addresses

Primary practice location

6822 Fresh Meadow LN
Fresh Meadows, NY 11365-3421

Mailing address

5032 175TH PL
Fresh Meadows, NY 11365-1626
Phone (646) 262-1794

Other practice location 1

20414 Hillside Ave
Hollis, NY 11423-2217
Phone (718) 464-4406

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
Credentials
Bachelor of Science, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
25952NJMDPharmacist
I045773-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Edelsie Pharmacy Inc PastSince Apr 1, 2022 Accepting new patients
Shoprite of Commack LLC Past Accepting new patients
Up Chemistry Services Inc PastSince Feb 1, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1053633222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5032 175TH PL",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651626",
            "telephone_number": "646-262-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6822 FRESH MEADOW LN",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653421",
            "telephone_number": "917-477-0070",
            "fax_number": "917-477-0074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20414 Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "Hollis",
            "state": "NY",
            "postal_code": "114232217",
            "country_code": "US",
            "telephone_number": "718-464-4406",
            "fax_number": "718-468-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DING",
        "first_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "B.S. PHARM., RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "25952",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I045773-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.