Kevin J Chang

Primary specialty

PharmacistTaxonomy code 183500000X

License

063713 Issued in NY

Practice address

1805 5TH Ave
Bay Shore, NY 11706-1761

Phone

(516) 281-4005

NPI assigned

Jun 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Westbury Drug Corp

  • Community/Retail Pharmacy
  • Westbury, NY
  • NPI 1821656166
  NPD

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1114594181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ROBERT CIR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913828",
            "telephone_number": "516-281-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 5TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117061761",
            "telephone_number": "516-281-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KEVIN",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romina A Cevallos, RN
• Manish Chadha, M.D.
• Prabhjot Singh Chahal, M.D.
• Lon Yin Chan, MD
• Priyanshi Chandiwala
• Emmanuela L Charles
• Robert Thomas Chatalbash, MD
• Ummara R Chaudhary, PHARM D
• Andrew Jagene Chaung, DO
• Michelle Ssiming Chen

• Pharmacist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.