Individual provider Active NPI

Casey S Yim, RPH

  • Pharmacist
  • New Hyde Park, NY
National Provider Identifier
1396067005
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047577-1 Issued in NY
Practice address
75 Nassau Terminal Rd
New Hyde Park, NY 11040-4927
Phone
(516) 280-1000
Fax
(516) 280-1074
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 047577-1 NY Primary

Addresses

Primary practice location

75 Nassau Terminal Rd
New Hyde Park, NY 11040-4927

Mailing address

75 Nassau Terminal Rd
New Hyde Park, NY 11040-4927
Phone (516) 280-1000

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
047577-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Amerita of New York, LLC. Past Accepting new patients
Dragonfly Health RX Ny, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1396067005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NASSAU TERMINAL RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404927",
            "telephone_number": "516-280-1000",
            "fax_number": "516-280-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NASSAU TERMINAL RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404927",
            "telephone_number": "516-280-1000",
            "fax_number": "516-280-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "CASEY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047577-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.