Ivy Huang, PHARMD
Individual provider Active NPI Pharmacist · College Point, NY
NPI 1740023175 · NPPES record last updated Jun 13, 2024
Key facts
- NPI
- 1740023175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 071492 (NY)
- Practice address
- 1401 College Point Blvd
College Point, NY 11356-1719 - Phone
- (718) 353-3204
- NPI assigned
- Jun 13, 2024
- Sex
- Female
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071492 | 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 | 071492 | NY | Yes |
Addresses
Primary practice location
1401 College Point Blvd
College Point, NY 11356-1719
Mailing address
1401 College Point Blvd
College Point, NY 11356-1719
Phone (718) 353-3204
Other providers in College Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2024. 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.