Individual provider Active NPI

Lynn Chern-Lan Chiang-Vera, BS

  • Pharmacist
  • Jericho, NY
National Provider Identifier
1417125782
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044920-1 Issued in NY
Practice address
336 N Broadway
Jericho, NY 11753-2031
Phone
(519) 490-0117
Fax
(516) 932-3440
NPI assigned
Feb 20, 2008
Last updated
Feb 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 044920-1 NY Primary

Addresses

Primary practice location

336 N Broadway
Jericho, NY 11753-2031

Mailing address

21102 75TH Ave
Apt#1-H
Oakland Gardens, NY 11364-3352

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
044920-1NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1417125782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21102 75TH AVE",
            "address_2": "APT#1-H",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532031",
            "telephone_number": "519-490-0117",
            "fax_number": "516-932-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG-VERA",
        "first_name": "LYNN",
        "middle_name": "CHERN-LAN",
        "name_prefix": "Mrs.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044920-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.