Active NPI
Minsun Kang
- Pharmacist
- New York, NY
National Provider Identifier
1922383975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043531-2
- Practice address
- 1260 Madison Ave
The 90TH St. Pharmacy
New York, NY 10128 - Phone
- (212) 289-9168
- Fax
- (212) 427-3320
- NPI assigned
- Oct 20, 2011
- Last updated
- Oct 20, 2011
- Sex
- Female
- 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 | 043531-2 | NY | Primary |
Addresses
Primary practice location
1260 Madison Ave
The 90TH St. Pharmacy
New York, NY 10128
Mailing address
1260 Madison Ave
The 90TH St. Pharmacy
New York, NY 10128
Phone (212) 289-9168
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 |
|---|---|---|---|
| 043531-2 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher a. Bassolino Pharmacy Corp. | 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.
-
dba 90th St. Pharmacy
- Community/Retail Pharmacy
- New York, NY
- NPI 1851438576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1922383975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 MADISON AVE",
"address_2": "THE 90TH ST. PHARMACY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10128",
"telephone_number": "212-289-9168",
"fax_number": "212-427-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 MADISON AVE",
"address_2": "THE 90TH ST. PHARMACY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10128",
"telephone_number": "212-289-9168",
"fax_number": "212-427-3320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "MINSUN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "043531-2",
"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 Oct 20, 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.