Active NPI
Yibo Sun, PHARM D
- Pharmacist
- Queens Village, NY
National Provider Identifier
1891095907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 054888
- Practice address
- 216-20 Hillside Ave
Queens Village, NY 11428 - Phone
- (718) 217-7700
- NPI assigned
- Oct 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 054888 | NY | Primary |
Addresses
Primary practice location
216-20 Hillside Ave
Queens Village, NY 11428
Mailing address
216-20 Hillside Ave
Queens Village, NY 11428
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054888 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dong Seo Pharmacy LLC | Current | Accepting new patients | |
| Ebi Pharmacy & Supermarket Inc | Past | Accepting new patients |
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 1750771929
-
- Community/Retail Pharmacy
- Queens Village, NY
- NPI 1730481847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1891095907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216-20 HILLSIDE AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "11428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216-20 HILLSIDE AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "11428",
"telephone_number": "718-217-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "YIBO",
"name_prefix": "Mr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-25",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "054888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.