JIM CHAN
NPI 1669965331
Pharmacist in Rego Park, NY

Active since June 07, 2018
9890A QUEENS BLVD, REGO PARK, NY 11374(718) 459-1500 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2021, Dec 13, 2019, Dec 18, 2018 (3 updates tracked since 2018).

About Jim Chan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIM CHAN (NPI 1669965331) is an individual pharmacist in Rego Park, New York, licensed in New York (064048) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1669965331
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJIM CHAN
Location Address9890A QUEENS BLVDRego Park, NY 11374-4354
Mailing Address9890a Queens BlvdRego Park, NY 11374-4354
Sole ProprietorNo
Enumeration DateJune 7, 2018
Last NPPES UpdateMay 27, 20213 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
NPI 1669965331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 064048
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
9890A QUEENS BLVD, Rego Park, NY 11374

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
9890A QUEENS BLVD
REGO PARK, NY 11374
Pharmacist
9890A QUEENS BLVD
REGO PARK, NY 11374

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jim Chan's NPI number?

The NPI number for Jim Chan is 1669965331. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Jim Chan located?

Jim Chan practices at 9890A Queens Blvd, Rego Park, NY 11374. The listed phone number is (718) 459-1500.

What is Jim Chan's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jim Chan was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.