Individual provider Active NPI

Maocheng Huang

  • Pharmacist
  • Fresh Meadows, NY
National Provider Identifier
1093159097
Registry record updated Apr 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
057862 Issued in NY
Practice address
7347 190TH St
Fresh Meadows, NY 11366-1853
Phone
(646) 330-0733
NPI assigned
Apr 20, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 057862 NY Primary
Pharmacist 183500000X 52504 TX
Pharmacist 183500000X 28RI03550300 NJ
Pharmacist 183500000X PCT.0012507 CT

Addresses

Primary practice location

7347 190TH St
Fresh Meadows, NY 11366-1853

Mailing address

7347 190TH St
Fresh Meadows, NY 11366-1853
Phone (646) 330-0733

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

LicenseStateTypeSpecialty
52504TXMDClinical Social Worker
PCT.0012507CTMDPharmacist
28RI03550300NJMDPharmacist
057862NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1366416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366416000000",
    "number": "1093159097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7347 190TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661853",
            "telephone_number": "646-330-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7347 190TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661853",
            "telephone_number": "646-330-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "MAOCHENG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-20",
        "last_updated": "2013-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "057862",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "52504",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03550300",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0012507",
            "primary": false
        }
    ],
    "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 Apr 20, 2013; 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.