Kevin Chan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

062119 Issued in NY

Practice address

425 Main St
Roosevelt Island, NY 10044-0238

Phone

(646) 521-2260

NPI assigned

Nov 7, 2016

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

Practice roles

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.

• Duane Reade

  • Pharmacy
  • Roosevelt Island, NY
  • NPI 1124044235
  NPD (past)
• Duane Reade

  • Pharmacy
  • New York, NY
  • NPI 1548914351
  NPD (past)

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1285176404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 82ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094107",
            "telephone_number": "646-575-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MAIN ST",
            "city": "ROOSEVELT ISLAND",
            "state": "NY",
            "postal_code": "100440238",
            "telephone_number": "646-521-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "062119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pappathi Anbalagan, MD
• Jennifer Allison Bellantese, PHYSICIAN ASSISTANT
• Samantha Bisnott, OTR/L
• Yolanda Bruno, MD
• Nicole Carpluk, RN
• Varinder Chawla, MD
• Nicola Shian Jin Chen, NP
• Alison Cymes
• Padmasri Dasari, NP
• Francis Deasis, DO

• Pharmacist in Roosevelt Island, NY
• Providers in Roosevelt Island, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.