NPIMap

Individual provider Active NPI

Linda Wen, RPH

  • Pharmacist
  • Elmont, NY
National Provider Identifier
1780854133
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0048107 Issued in NY
Practice address
2095 Dutch Broadway
Elmont, NY 11003-4247
Phone
(516) 285-4214
NPI assigned
Mar 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 048107 NY
Pharmacist 183500000X 0048107 NY Primary

Addresses

Primary practice location

2095 Dutch Broadway
Elmont, NY 11003-4247

Mailing address

2095 Dutch Broadway
Elmont, NY 11003-4247
Phone (516) 285-4214

Other practice location 1

254 Park Ave S
New York, NY 10010-7205
Phone (212) 387-7340

Other practice location 2

900 8th Ave
New York, NY 10019-6498
Phone (212) 582-3463

Other practice location 3

1471 Broadway
New York, NY 10036-6560
Phone (212) 302-0552

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
0048107NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Eastern Co Inc PastSince Dec 13, 2020 Accepting new patients
Walgreen Co PastSince Feb 1, 2020 Accepting new patients
Duane Reade PastSince Nov 1, 2019 Accepting new patients
Walgreen Co PastSince Feb 1, 2020 Accepting new patients
Walgreen Eastern Co Inc PastSince Dec 13, 2020 Accepting new patients
Duane Reade PastSince Nov 1, 2019 Accepting new patients
Walgreen Co Past Accepting new patients
Duane Reade Past Accepting new patients

Organizations & group practices 8

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": "1204329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1780854133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 DUTCH BROADWAY",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034247",
            "telephone_number": "516-285-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 DUTCH BROADWAY",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034247",
            "telephone_number": "516-285-4214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Park Ave S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100107205",
            "country_code": "US",
            "telephone_number": "212-387-7340",
            "fax_number": "212-387-9016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 8th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100196498",
            "country_code": "US",
            "telephone_number": "212-582-3463",
            "fax_number": "212-582-3410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1471 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100366560",
            "country_code": "US",
            "telephone_number": "212-302-0552",
            "fax_number": "212-730-7761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEN",
        "first_name": "LINDA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-01",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048107",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "0048107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.