Active NPI
Yushan Liu
- Pharmacist
- Flushing, NY
National Provider Identifier
1174171292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 065938
- Practice address
- 4024 College Point Blvd
Flushing, NY 11354-5111 - Phone
- (347) 532-9943
- Fax
- (327) 532-9944
- NPI assigned
- Sep 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 065938 | NY | Primary |
Addresses
Primary practice location
4024 College Point Blvd
Flushing, NY 11354-5111
Mailing address
4024 College Point Blvd
Flushing, NY 11354-5111
Phone (347) 532-9943
Other practice location 1
1995 Lenox Ave
East Meadow, NY 11554-4014
Phone (646) 549-9388
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 |
|---|---|---|---|
| 065938 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 2
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": "1567382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1174171292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4024 COLLEGE POINT BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545111",
"telephone_number": "347-532-9943",
"fax_number": "327-532-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 COLLEGE POINT BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545111",
"telephone_number": "347-532-9943",
"fax_number": "327-532-9944"
}
],
"practiceLocations": [
{
"address_1": "1995 Lenox Ave",
"address_purpose": "LOCATION",
"city": "East Meadow",
"state": "NY",
"postal_code": "115544014",
"country_code": "US",
"telephone_number": "646-549-9388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "YUSHAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-02",
"last_updated": "2020-12-09",
"certification_date": "2020-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "065938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.