Active NPI
Wing Yiu Chan
- Pharmacist
- New York, NY
National Provider Identifier
1366627614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045948
- Practice address
- 305 Broadway
New York, NY 10007-1109 - Phone
- (212) 227-6168
- Fax
- (212) 571-4679
- NPI assigned
- Jan 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 045948 | NY | Primary |
Addresses
Primary practice location
305 Broadway
New York, NY 10007-1109
Mailing address
305 Broadway
New York, NY 10007-1109
Phone (212) 227-6168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01881465 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Past | Accepting new patients | |
| Duane Reade | 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.
-
- Pharmacy
- New York, NY
- NPI 1306862438
-
- Pharmacy
- New York, NY
- NPI 1548914351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1366627614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100071109",
"telephone_number": "212-227-6168",
"fax_number": "212-571-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100071109",
"telephone_number": "212-227-6168",
"fax_number": "212-571-4679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "WING YIU",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01881465",
"state": "NY"
}
],
"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 Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.