Active NPI
Jin Yee Vivian Li
- Pharmacist
- Corona, NY
National Provider Identifier
1255856357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 063073
- Practice address
- 4016 National St
Corona, NY 11368-2321 - Phone
- (718) 507-0442
- NPI assigned
- Aug 9, 2017
- 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 | 063073 | NY | Primary |
Addresses
Primary practice location
4016 National St
Corona, NY 11368-2321
Mailing address
4208 65TH PL
Woodside, NY 11377-5055
Phone (646) 244-1276
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502236800000",
"number": "1255856357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4208 65TH PL",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113775055",
"telephone_number": "646-244-1276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4016 NATIONAL ST",
"city": "CORONA",
"state": "NY",
"postal_code": "113682321",
"telephone_number": "718-507-0442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "JIN YEE",
"middle_name": "VIVIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-09",
"last_updated": "2017-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.