Active NPI
Andy Tam
- Pharmacist
- New York, NY
National Provider Identifier
1275998015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 040770
- Practice address
- 77 Mott St
New York, NY 10013-4862 - Phone
- (212) 285-0977
- Fax
- (212) 285-0994
- NPI assigned
- Dec 21, 2015
- 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 | 040770 | NY | Primary |
Addresses
Primary practice location
77 Mott St
New York, NY 10013-4862
Mailing address
23029 Horace Harding Expy
Bayside, NY 11364-2448
Phone (718) 279-9241
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 |
|---|---|---|---|
| 040770 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yin on Pharmacy Inc Dba Peoples Pharmacy | Past | Accepting new patients | |
| Healthy Life 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 1174805865
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1568518371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1275998015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23029 HORACE HARDING EXPY",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113642448",
"telephone_number": "718-279-9241",
"fax_number": "212-285-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 MOTT ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134862",
"telephone_number": "212-285-0977",
"fax_number": "212-285-0994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAM",
"first_name": "ANDY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-21",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "040770",
"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 Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.