DR. CHRISTOPHER WAYNE CHAN (NPI# 1356778591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356778591 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER WAYNE CHAN |
| Credential | PHARM.D |
| Practice Address |
4904 19th Ave Astoria NY 11105-1002 |
| Mailing Address |
3228 71st St East Elmhurst NY 11370-1722 |
| Practice Telephone | 3472916700 |
| Mailing Telephone | 3472916700 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2015-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | I058386 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063714954 | Christopher Man Chan | Physical Therapist | 102 Bowery, Suite B, New York, NY 10013 | 2010-11-26 |
| 1528190816 | Christopher W Chan | Dentist | 9917 Hamilton Ave, Huntington Beach, CA 92646-8015 | 2007-03-12 |
| 1912932880 | Christopher T Chan | Dentist | 4450 Duckhorn Dr, Suite 500, Sacramento, CA 95834 | 2006-07-11 |
| 1922504521 | Christopher Chan | Student in an Organized Health Care Education/Training Program | 622 W 168th St Ph 5-133, New York, NY 10032-3720 | 2018-04-03 |
| 1407378987 | Christopher Chan | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Family Medicine, Shreveport, LA 71130 | 2017-07-17 |
| 1528594116 | Christopher Chan | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701-2302 | 2017-05-03 |
| 1821440322 | Christopher Chan | Optometrist | 511 Boston Post Rd, Port Chester, NY 10573 | 2016-07-07 |
| 1639538978 | Christopher Chan | Dentist | 150 55th St, Brooklyn, NY 11220-2508 | 2016-02-15 |
| 1972998730 | Christopher Chan | Internal Medicine | 1025 New Moody Ln, La Grange, KY 40031-9154 | 2015-03-30 |
| 1386060853 | Christopher Lap Bun Chan | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2014-03-08 |
| Street Address |
4904 19TH AVE |
| City | ASTORIA |
| State | NY |
| Zip Code | 11105-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992723753 | Aung Khine Oo | Internal Medicine | 4904 19th Ave, Astoria, NY 11105-1002 | 2006-07-18 |
| 1689067019 | Christopher Wayne Johnson | Counselor | 4904 19th Ave, Astoria, NY 11105-1002 | 2015-03-10 |
| 1437547957 | Brian Michael Burns | Registered Nurse | 4904 19th Ave, Astoria, NY 11105-1002 | 2015-01-06 |
| 1700274305 | James Patrick Cassar | Nurse Practitioner | 4904 19th Ave, Astoria, NY 11105-1002 | 2015-01-05 |
| 1770980252 | Corizon | Community/Behavioral Health | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-11-26 |
| 1609276534 | Adem Martin Geraghty | Registered Nurse | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-08-28 |
| 1477973519 | Christine Edmondson | Nurse Practitioner | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-04-16 |
| 1356783476 | Anna T Richards | Registered Nurse | 4904 19th Ave, Astoria, NY 11105-1002 | 2013-07-18 |
| 1669817938 | Correctional Medical Associates of Newyork, P.C. | Pharmacy | 4904 19th Ave, Astoria, NY 11105-1002 | 2013-05-01 |
| 1609210178 | Correctional Dental Associates of New York | Dentist | 4904 19th Ave, Astoria, NY 11105-1002 | 2013-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639640345 | Bridget Mackin | Counselor | 2263 41st Street, Apt 1f, Astoria, NY 11105 | 2018-12-07 |
| 1487154597 | Five Star Assessment Corp | Specialist/Technologist | 2135 47 Street, Suite 2, Astoria, NY 11105 | 2018-02-15 |
| 1154843076 | Stefania Anne Vendome | Physician Assistant | 23-38 28th Street, Astoria, NY 11105 | 2017-07-12 |
| 1164942330 | Kara Lorraine Gerbino | Registered Nurse | 2325 31st St Ste 301, Astoria, NY 11105 | 2017-06-20 |
| 1669908828 | Gerlie H Estores | Licensed Practical Nurse | 2257 23rd Street, 2nd Floor, Astoria, NY 11105 | 2017-05-10 |
| 1558809665 | Tasrina Khan | Behavioral Analyst | 24-13 23rd Ave, Astoria, NY 11105 | 2017-02-09 |
| 1356892988 | Maria Tsoukias | Behavioral Analyst | 21-21 24th Street, Astoria, NY 11105 | 2016-10-19 |
| 1356705602 | Ahmed Y Nasser | Pharmacist | 21 09 A 31st Street, Pharmacare Plus Pharmacy, Astoria, NY 11105 | 2016-04-12 |
| 1194185363 | Sisters of The Good Shepherd | Social Worker | 25-30 21 Avenue, Astoria, NY 11105 | 2016-03-02 |
| 1154741551 | Latifat Okeke | Nurse Practitioner | 49-04 19th Ave, Rikers Island Correctional Facility, Astoria, NY 11105 | 2014-04-24 |
| Find all providers in zip 11105 | ||||
| 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 |
|---|---|---|---|---|
| 1154987782 | Vassilia Sideras | Pharmacist | 2073 46th St, Astoria, NY 11105-1211 | 2019-05-20 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1790259083 | Amrita Stephanie Samaroo | Pharmacist | 2338 30th Dr, Astoria, NY 11102-3252 | 2019-01-19 |
| 1194203778 | Karim Mansour | Pharmacist | 2157 33rd St Apt 4d, Astoria, NY 11105-2363 | 2018-08-05 |
| 1841795408 | Devang Jariwala | Pharmacist | 3035 14th St Apt 3r, Astoria, NY 11102-3884 | 2018-03-27 |
| 1407367659 | Michael Angelo Valladares | Pharmacist | 2620 Hoyt Ave S, Astoria, NY 11102-2870 | 2017-10-16 |
| 1558817510 | Michael Son Truong | Pharmacist | 30-07 31st Ave, Astoria, NY 11106 | 2016-08-30 |
| 1083160485 | Sara Tohme | Pharmacist | 2120 22nd Dr Apt 2f, Astoria, NY 11105-3431 | 2016-08-26 |
| 1356897755 | Sherin Mohamed | Pharmacist | 2058 Crescent St Apt 2b, Astoria, NY 11105-4309 | 2016-08-26 |
| 1356705602 | Ahmed Y Nasser | Pharmacist | 21 09 A 31st Street, Pharmacare Plus Pharmacy, Astoria, NY 11105 | 2016-04-12 |
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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.