DR. JONATHAN STEVEN CHAN (NPI# 1952733412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952733412 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN STEVEN CHAN |
| Credential | PHARM D |
| Practice Address |
111 Executive Blvd Farmingdale NY 11735-4719 |
| Mailing Address |
4 York St Hicksville NY 11801-2320 |
| Practice Telephone | 6318430500 |
| Mailing Telephone | 5169653682 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2014-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 058086 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831985 | Jonathan R Chan | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave Ste 301, Colton, CA 92324-1819 | 2020-05-01 |
| 1750923595 | Jonathan Chan | Pharmacist | 7974 Haven Ave Ste 120, Rancho Cucamonga, CA 91730-3052 | 2019-10-14 |
| 1144351685 | Jonathan Karl Chan | Dentist | 935 Roseville Parkway, #120, Roseville, CA 95678 | 2007-03-08 |
| 1699383570 | Jonathan Chan | Physical Therapist | 14221 Euclid St Ste F, Garden Grove, CA 92843-4991 | 2020-07-16 |
| 1457917569 | Jonathan Chan | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2019-05-14 |
| 1578126975 | Jonathan Chan | Student in an Organized Health Care Education/Training Program | 967 N Broadway, Yonkers, NY 10701-1301 | 2019-04-21 |
| 1538666128 | Jonathan Chan | Physical Medicine & Rehabilitation | 2333 Buchanan St, San Francisco, CA 94115-1925 | 2018-04-10 |
| 1407248552 | Jonathan Richard Chan | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2015-02-26 |
| 1093123721 | Jonathan Chan | Optometrist | 2615 Tuscany St, Corona, CA 92881-4631 | 2014-07-25 |
| 1982016929 | Jonathan James Wanglun Chan | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2014-05-26 |
| Street Address |
111 EXECUTIVE BLVD |
| City | FARMINGDALE |
| State | NY |
| Zip Code | 11735-4719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710005822 | Tap Rx LLC | Pharmacy | 111 Executive Blvd, Farmingdale, NY 11735-4719 | 2007-03-27 |
| 1235666942 | Eric David Folino | Pharmacist | 111 Executive Blvd, Farmingdale, NY 11735-4719 | 2017-05-12 |
| 1184028854 | Isaac Kim | Pharmacist | 111 Executive Blvd, Farmingdale, NY 11735-4719 | 2014-10-09 |
| 1588073225 | James Joseph Angst | Pharmacist | 111 Executive Blvd, Farmingdale, NY 11735-4719 | 2014-08-06 |
| 1306188529 | Dane E Bonn | Pharmacist | 111 Executive Blvd, Farmingdale, NY 11735-4719 | 2013-03-26 |
| 1215275821 | Henry Jeon | Pharmacist | 111 Executive Blvd, Farmingdale, NY 11735-4719 | 2013-01-17 |
| 1770842965 | Arun Nair | Pharmacist | 111 Executive Blvd, Farmingdale, NY 11735-4719 | 2012-05-09 |
| 1942587654 | Michael C. Chan | Pharmacist | 111 Executive Blvd, Farmingdale, NY 11735-4719 | 2011-11-08 |
| 1104140912 | Julia Baldinger | Pharmacist | 111 Executive Blvd, Farmingdale, NY 11735-4719 | 2010-03-23 |
| 1679799290 | Thomas Anthony Hyde | Pharmacist | 111 Executive Blvd, Farmingdale, NY 11735-4719 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151197 | Center Island Massage PC | Massage Therapist | 34 Hempstead Turnpike, Suite E, Farmingdale, NY 11735 | 2019-12-19 |
| 1447736434 | Melanie Clampitt | Occupational Therapy Assistant | 158 Sunset Ave, Farmingdale, NY 11735 | 2018-07-13 |
| 1841789120 | I-ting Lin | Acupuncturist | 376 Fulton St. The Phoenix Eastern Medicine Center, Farmingdale, NY 11735 | 2018-05-02 |
| 1447767371 | Nashon Clark | Social Worker | 565 Broadhollow Rd Ste 6e, Farmingdale, NY 11735 | 2017-12-31 |
| 1336669639 | Robby Harris | Psychologist | 31 Lincoln Street, Farmingdale, NY 11735 | 2017-06-27 |
| 1265961544 | Stacey Gouzos | Behavior Technician | 29 Bernard Street, Farmingdale, NY 11735 | 2017-06-08 |
| 1962856450 | Integrated Medical Interventional Diagnostics PC | Registered Nurse | 1111 Broad Hollow Rd 110 Suite 114, Farmingdale, NY 11735 | 2016-04-20 |
| 1528433604 | Robert Gerard Jr. | Peer Specialist | 142-02 20th Aveune, Rosedale, NY 11735 | 2015-12-01 |
| 1750750329 | Glenda Lopez | Case Manager/Care Coordinator | 539 Broad Hollow Rd, Suite 202, Farmingdale, NY 11735 | 2015-09-24 |
| 1366849911 | Jeffrey Rosa | Counselor | 500 Bi-country Blvd, Suite 114, Farmingdale, NY 11735 | 2014-11-25 |
| Find all providers in zip 11735 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437525649 | Joseph Valveri | Pharmacist | 51 Balcom Rd, Farmingdale, NY 11735-2303 | 2015-08-12 |
| 1992145122 | Jeffrrey Church | Pharmacist | 34 Wedgewood Dr, Farmingdale, ME 04344-2969 | 2013-07-02 |
| 1710263462 | Well Care Pharmacy of Longisland Corp. | Pharmacist | 1037 Fulton St, Farmingdale, NY 11735-4700 | 2011-10-26 |
| 1487954020 | Robert Thomas Corry | Pharmacist | 11 Executive Blvd, Farmingdale, NY 11735 | 2010-10-29 |
| 1073833307 | Kenneth Kalada | Pharmacist | 1306 Rte 33, Unit 4, Farmingdale, NJ 07727-4033 | 2010-06-09 |
| 1568787810 | Karen A Kahn | Pharmacist | 931 Conklin St Ste D, Farmingdale, NY 11735-2429 | 2010-03-30 |
| 1548584915 | Kevin Ferry | Pharmacist | 111 Rte 110, Farmingdale, NY 11735-4820 | 2010-03-15 |
| 1497078596 | Gurdine Soma | Pharmacist | 11 Ethan Dr, Farmingdale, NJ 07727-3776 | 2010-03-04 |
| 1679895254 | Michael Vincent Chan | Pharmacist | 931d Conklin Street, Farmingdale, NY 11735-2429 | 2010-02-23 |
| 1699007971 | Richard Gawrysiak | Pharmacist | 1111 Rte 110, Farmingdale, NY 11735-4820 | 2010-02-11 |
| Find all providers in FARMINGDALE | ||||
| City | FARMINGDALE |
| Zip Code | 11735 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.