Active NPI
Kin Yin Yung, RPH
- Pharmacist
- Maspeth, NY
National Provider Identifier
1710168307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042342
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 042342 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MMM Health Corp | Current | Accepting new patients | |
| CMD Enterprises LLC | Past | 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.
-
- Community/Retail Pharmacy
- Flushing, NY
- NPI 1376174474
-
- Community/Retail Pharmacy
- Flushing, NY
- NPI 1629173372
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.