Individual provider Active NPI

Ellen Yi, PHARMD, RPH, MBA

  • Pharmacist
  • Great Neck, NY
National Provider Identifier
1629889167
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
072425 Issued in NY
Practice address
3A Bond St
Great Neck, NY 11021-2408
Phone
(516) 304-5893
NPI assigned
Jan 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 072425 NY Primary

Addresses

Primary practice location

3A Bond St
Great Neck, NY 11021-2408

Mailing address

3717 Union St FL 3
Flushing, NY 11354-4159
Phone (646) 420-1539

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
Master of Business Administration, Doctor of Pharmacy, Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hyoshim Pharmacy Inc CurrentSince Jan 19, 2025 Accepting new patients

Locations

3 Bond St
#A
Great Neck, NY 11021
Phone (516) 304-5893

Organizations & group practices 1

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": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1629889167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 UNION ST FL 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544159",
            "telephone_number": "646-420-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3A BOND ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212408",
            "telephone_number": "516-304-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "ELLEN",
        "credential": "PHARMD, RPH, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "072425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.