Vincent Yeung
Individual provider Active NPI Pharmacist · Brooklyn, NY
NPI 1649934647 · NPPES record last updated Oct 26, 2021
Key facts
- NPI
- 1649934647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 068521 (NY)
- Practice address
- 1242 Liberty Ave
Brooklyn, NY 11208-9099 - Phone
- (929) 258-3119
- NPI assigned
- Oct 26, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068521 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 068521 | NY | Yes |
Addresses
Primary practice location
1242 Liberty Ave
Brooklyn, NY 11208-9099
Mailing address
15011 Centreville St
Ozone Park, NY 11417-2932
Phone (718) 415-1193
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.