Active NPI
Simon Jin Yang
- Pharmacist
- Floral Park, NY
National Provider Identifier
1255873543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 062396
- Practice address
- 73 Covert Ave
Floral Park, NY 11001-3218 - Phone
- (516) 354-1227
- NPI assigned
- Nov 17, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 062396 | NY | Primary |
Addresses
Primary practice location
73 Covert Ave
Floral Park, NY 11001-3218
Mailing address
6428 Marathon Pkwy
Little Neck, NY 11362-2314
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 |
|---|---|---|---|
| 062396 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raindew Covert LTD | Past | Accepting new patients | |
| Sarana Drugs 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.
-
dba OnPoint Pharmacy Floral Park
- Community/Retail Pharmacy
- Floral Park, NY
- NPI 1972083558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1255873543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6428 MARATHON PKWY",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113622314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 COVERT AVE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110013218",
"telephone_number": "516-354-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "SIMON",
"middle_name": "JIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-17",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "062396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.