Individual provider Active NPI

Annie Yuan-Chung Chen, PHARMD

  • Pharmacist
  • New York, NY
National Provider Identifier
1336263284
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050304 Issued in NY
Practice address
1619 3Rd Ave
New York, NY 10128-3459
Phone
(212) 534-6000
Fax
(212) 534-6300
NPI assigned
Mar 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 050304 NY Primary

Addresses

Primary practice location

1619 3Rd Ave
New York, NY 10128-3459

Mailing address

1619 3Rd Ave
New York, NY 10128-3459
Phone (212) 534-6000

Other practice location 1

3601 Broadway
Astoria, NY 11106-1045
Phone (718) 721-3486

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
050304NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Third Ave. Pharmacy LLC CurrentSince Oct 30, 2022 Accepting new patients
Genovese Drug Stores Inc Past Accepting new patients
Genovese Drug Stores Inc Past Accepting new patients

Locations

1619 3rd Ave
New York, NY 10128
Phone (212) 410-5001

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1336263284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283459",
            "telephone_number": "212-534-6000",
            "fax_number": "212-534-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283459",
            "telephone_number": "212-534-6000",
            "fax_number": "212-534-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 Broadway",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111061045",
            "country_code": "US",
            "telephone_number": "718-721-3486",
            "fax_number": "718-721-8349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ANNIE",
        "middle_name": "YUAN-CHUNG",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050304",
            "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 Oct 28, 2022; 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.