Active NPI
Carmen Zhao, PHARM D
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1104552801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 069161
- Practice address
- 380 Knickerbocker Ave
Brooklyn, NY 11237-3702 - Phone
- (718) 676-9976
- Fax
- (718) 676-9986
- NPI assigned
- Jul 26, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 069161 | NY | Primary |
Addresses
Primary practice location
380 Knickerbocker Ave
Brooklyn, NY 11237-3702
Mailing address
2417 E 23Rd St
Brooklyn, NY 11235-2966
Phone (347) 681-4608
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069161 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ema Pharmacy Corp | 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.
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1497002935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1104552801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2417 E 23RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352966",
"telephone_number": "347-681-4608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 KNICKERBOCKER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112373702",
"telephone_number": "718-676-9976",
"fax_number": "718-676-9986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHAO",
"first_name": "CARMEN",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-26",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "069161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.