Active NPI
Jordan K Yee
- Pharmacist
- Flushing, NY
National Provider Identifier
1801506365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I069929
- Practice address
- 4235 Main St
Flushing, NY 11355-3956 - Phone
- (718) 878-6999
- Fax
- (718) 939-8838
- NPI assigned
- Nov 24, 2022
- Last updated
- May 11, 2023
- 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 | I069929 | NY | Primary |
Addresses
Primary practice location
4235 Main St
Flushing, NY 11355-3956
Mailing address
14480 Sanford Ave Apt 5J
Flushing, NY 11355-6303
Phone (646) 361-9036
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 |
|---|---|---|---|
| I069929 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medina Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1801506365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14480 SANFORD AVE APT 5J",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113556303",
"telephone_number": "646-361-9036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4235 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553956",
"telephone_number": "718-878-6999",
"fax_number": "718-939-8838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEE",
"first_name": "JORDAN K",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-24",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I069929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.