Ilene Chin

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

063258 Issued in NY

Practice address

7118 Kissena Blvd
Flushing, NY 11367-2720

Phone

(718) 793-3400

NPI assigned

Aug 31, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rite Aid of New York Inc

  dba Rite Aid Pharmacy 03733

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1639288129
  NPD (past)
• Walgreen Co

  dba Rite Aid

  • Pharmacy
  • Flushing, NY
  • NPI 1578086336
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1891213609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15228 JEWEL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7118 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672720",
            "telephone_number": "718-793-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "ILENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "063258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chim Herb & Company
• Jessica Mon Chin-Tan, D.O.
• Allen Chin, OD
• Cristina Louise Chin
• Ginny Chin
• Shiau Hui Chin, M.D.
• Valerie Chin, D.D.S
• Chin's Oriental Herb & Acupuncture Clinic, P.C.
• Chinatown Cardiovascular Disease PC
• Chinatown Medical Imaging Center

• Community/Retail Pharmacy in Flushing, NY
• Providers in Flushing, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.