Active NPI
Kevin Hua-Young Pao, PHARMD, RPH, AE-C
- Pharmacist
- Bronx, NY
National Provider Identifier
1558845040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064742
- Practice address
- 1650 Grand Concourse
Bronx, NY 10457-7697 - Phone
- (718) 177-3686
- NPI assigned
- Sep 20, 2018
- Sex
- Male
- 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 | 064742 | NY | Primary |
Addresses
Primary practice location
1650 Grand Concourse
Bronx, NY 10457-7697
Mailing address
4715 Bell Blvd
Flushing, NY 11361-3333
Phone (949) 295-4226
Other practice location 1
First Avenue at 16th Street
New York, NY 10003
Phone (212) 420-2936
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064742 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1558845040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4715 BELL BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113613333",
"telephone_number": "949-295-4226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104577697",
"telephone_number": "718-177-3686"
}
],
"practiceLocations": [
{
"address_1": "First Avenue at 16th Street",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10003",
"country_code": "US",
"telephone_number": "212-420-2936",
"fax_number": "212-420-3969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAO",
"first_name": "KEVIN",
"middle_name": "HUA-YOUNG",
"credential": "PHARMD, RPH, AE-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-20",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
- Jasmine Elizabeth Pantojas, SOCIAL WORKER
- Paula Ann Panton, LICENSED PRACTICAL N
- Katherine Anne Panushka
- Nicole Panzica
- John Panzone, D.O.
- Virginia Wan-Yi Pao, M.S.
- Angela Joanne Paolercio, REGISTERED NURSE
- Luca Paoluzzi, M.D.
- Demetra Papadopoulos, M.S. CCC-SLP
- Dimitri Papadopoulos, DIMITRI PAPADOPOULOS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.