Kevin Anthony Chang, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

063235 Issued in NY

Practice address

10716 71St Ave
Forest Hills, NY 11375-4725

Phone

(718) 793-2905

NPI assigned

Sep 1, 2017

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255859054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 121ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10716 71ST AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754725",
            "telephone_number": "718-793-2905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 121st",
            "address_purpose": "LOCATION",
            "city": "flushing",
            "state": "NY",
            "postal_code": "11354",
            "country_code": "US",
            "telephone_number": "347-971-8791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KEVIN",
        "middle_name": "ANTHONY",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Chan, PHARM.D.
• Yik Han Chan, MA, RD, CDN, CDCES
• Shannon L Chaney
• Chang Queens Acupuncture Wellness P.C.
• Jonathan T Chang, M.D.
• Sunhae Chang, RPH
• Xiu Chang
• Lokmattie Shelly Channan, LCSW
• Lina Marcela Chara Dussan
• Dolores Charite

• Pharmacist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.