Active NPI
Daniel Chang
- Pharmacist
- New York, NY
National Provider Identifier
1760094924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 066847
- Practice address
- 305 Broadway
New York, NY 10007-1109 - Phone
- (212) 227-6168
- NPI assigned
- Aug 19, 2020
- 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 | 066847 | NY | Primary |
Addresses
Primary practice location
305 Broadway
New York, NY 10007-1109
Mailing address
305 Broadway
New York, NY 10007-1109
Phone (646) 678-6202
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066847 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1760094924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100071109",
"telephone_number": "646-678-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100071109",
"telephone_number": "212-227-6168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-19",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "066847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.