Active NPI
Samantha Yan
- Pharmacist
- Flushing, NY
National Provider Identifier
1982909545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1044943-I
- Practice address
- 4269 Main St
Flushing, NY 11355-4721 - Phone
- (718) 353-0060
- Fax
- (718) 353-0059
- NPI assigned
- Jan 12, 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 | 1044943-I | NY | Primary |
Addresses
Primary practice location
4269 Main St
Flushing, NY 11355-4721
Mailing address
15 Holly Dr
Syosset, NY 11791-5719
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 |
|---|---|---|---|
| 1044943-I | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RX & Beyond Inc. | Current | Accepting new patients |
Locations
4269 Main St
Flushing, NY 11355
Phone (715) 353-0060
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Flushing, NY
- NPI 1477824613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1982909545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 HOLLY DR",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117915719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4269 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113554721",
"telephone_number": "718-353-0060",
"fax_number": "718-353-0059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAN",
"first_name": "SAMANTHA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-12",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "1044943-I",
"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 Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.