Individual provider Active NPI

Kin Yin Yung, RPH

  • Pharmacist
  • Maspeth, NY
National Provider Identifier
1710168307
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042342 Issued in NY
Practice address
6656 Grand Ave
Maspeth, NY 11378-2531
Phone
(718) 672-9465
Fax
(718) 899-3962
NPI assigned
Nov 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 042342 NY Primary

Addresses

Primary practice location

6656 Grand Ave
Maspeth, NY 11378-2531

Mailing address

13610 38TH Ave
Flushing, NY 11354-4113
Phone (718) 353-5737

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
042342NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
MMM Health Corp CurrentSince Mar 16, 2021 Accepting new patients
CMD Enterprises LLC PastSince Mar 16, 2021 Accepting new patients

Locations

13610 38th Ave
Flushing, NY 11354
Phone (718) 353-5737

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": "1195948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1710168307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13610 38TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544113",
            "telephone_number": "718-353-5737",
            "fax_number": "718-353-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6656 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782531",
            "telephone_number": "718-672-9465",
            "fax_number": "718-899-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNG",
        "first_name": "KIN YIN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-25",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.