Lin Dai

Individual provider Active NPI Pharmacist · Oakland Gardens, NY

NPI 1265830277 · NPPES record last updated Mar 1, 2024

Key facts

NPI
1265830277
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
I0559501 (NY)
Practice address
6136 Springfield Blvd
Oakland Gardens, NY 11364-2336
Phone
(917) 353-2617
NPI assigned
Dec 8, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
I0559501NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vip88 LLC Current
since Mar 3, 2024
Accepting new patients

Locations

6136 Springfield Blvd
Oakland Gardens, NY 11364
Phone (718) 819-0881

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X I0559501 NY Yes

Addresses

Primary practice location

6136 Springfield Blvd
Oakland Gardens, NY 11364-2336

Mailing address

PO Box 640324
Oakland Gardens, NY 11364-0324
Phone (917) 353-2617

Other providers in Oakland Gardens, NY

All providers in Oakland Gardens, NY · Pharmacist in New York

Sources for this page

Verify at the official NPI Registry.