Active NPI
Xiaoyang Han
- Pharmacist
- New York, NY
National Provider Identifier
1235739434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 067178
- Practice address
- 12A Pell St
New York, NY 10013-5105 - Phone
- (212) 349-1857
- NPI assigned
- Oct 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04084800 | NJ | |
| Pharmacist | 183500000X | 67639 | TX | |
| Pharmacist | 183500000X | 067178 | NY | Primary |
Addresses
Primary practice location
12A Pell St
New York, NY 10013-5105
Mailing address
22824 53Rd Ave
Oakland Gardens, NY 11364-1532
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 |
|---|---|---|---|
| 28RI04084800 | NJ | MD | Pharmacist |
| 067178 | NY | MD | Pharmacist |
| 67639 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curx Pharmacy Inc | Current | Accepting new patients | |
| Newgen Pharmacy Inc. | 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.
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1538539051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1235739434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22824 53RD AVE",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113641532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12A PELL ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100135105",
"telephone_number": "212-349-1857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "XIAOYANG",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04084800",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "67639",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "067178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.