BRANDON SUMMER XIA (NPI# 1417422726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417422726 |
| Entity Type | Individual |
| Full Name | BRANDON SUMMER XIA |
| Credential | PHARMD |
| Practice Address |
2510 30th Ave Long Island City NY 11102-2418 |
| Mailing Address |
1821 79th St Brooklyn NY 11214-1711 |
| Practice Telephone | 7189321000 |
| Mailing Telephone | 6462039227 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2020-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 064715 | NY | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7000 Austin St, Forest Hills, NY 113751022 | 9293350165 | |
| 2873 Richmond Ave, Staten Island, NY 103145811 | 9177915852 |
| Street Address |
2510 30TH AVE |
| City | LONG ISLAND CITY |
| State | NY |
| Zip Code | 11102-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531931 | Arunakumari Penumadu | Internal Medicine | 2510 30th Ave, Long Island City, NY 11102-2448 | 2005-07-07 |
| 1346860368 | Michael Jason Tom | Radiologic Technologist | 2510 30th Ave, Long Island City, NY 11102-2418 | 2020-04-20 |
| 1013551720 | Miyaseki Sakaeda Paragas | Registered Nurse | 2510 30th Ave, Long Island City, NY 11102-2448 | 2019-11-05 |
| 1376193086 | David Chen | Physician Assistant | 2510 30th Ave, Long Island City, NY 11102-2448 | 2019-09-14 |
| 1871051557 | Jennifer Susan George | Physician Assistant | 2510 30th Ave, Long Island City, NY 11102-2448 | 2019-03-12 |
| 1447715065 | Emylee Wood | Physician Assistant | 2510 30th Ave, Long Island City, NY 11102-2448 | 2019-02-07 |
| 1912461138 | Ambar Estivalia Arancibia | Nurse Practitioner | 2510 30th Ave, Long Island City, NY 11102-2448 | 2019-01-23 |
| 1003391301 | Asif Murshed Chowdhury | Physician Assistant | 2510 30th Ave, Long Island City, NY 11102-2448 | 2018-10-02 |
| 1043790926 | Amani Choudhury | Physician Assistant | 2510 30th Ave, Long Island City, NY 11102-2448 | 2018-08-20 |
| 1629558952 | Promi Nuzhat Uddin | Physician Assistant | 2510 30th Ave, Long Island City, NY 11102-2418 | 2018-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| Find all providers in zip 11102 | ||||
| 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 |
|---|---|---|---|---|
| 1972047553 | Norbert Futeran | Pharmacist | 5 Court Sq, Long Island City, NY 11101-2956 | 2016-12-15 |
| 1871947531 | Mariely Castaneda | Pharmacist | 3365 13th St, Long Island City, NY 11106-4611 | 2016-04-19 |
| 1477967826 | Wad Kadi | Pharmacist | 32-87 Steinway St, Long Island City, NY 11103 | 2014-06-13 |
| 1629310578 | Entela Karafili | Pharmacist | 3624 37th St, 2 Floor, Long Island City, NY 11101-1606 | 2013-03-19 |
| 1497042964 | Helen Se-jin Yoon | Pharmacist | 37-11 Queens Blvd., Long Island City, NY 11101 | 2011-07-06 |
| 1437473865 | Deborah Ann Figueroa | Pharmacist | 2180 33rd Rd, Apt 1d, Long Island City, NY 11106-4282 | 2010-03-14 |
| 1104148188 | Syed I Naqvi | Pharmacist | 3112 Broadway, Long Island City, NY 11106-2666 | 2010-02-18 |
| 1477875482 | Syed Shahid Ali | Pharmacist | 3543 28th St, Long Island City, NY 11106-3201 | 2010-02-17 |
| 1376713263 | Monsur Ahmed Chowdhury | Pharmacist | 2903 36th Ave, Long Island City, NY 11106-3107 | 2008-03-06 |
| 1720274913 | Angela Poulios | Pharmacist | 3355 Crescent St, Long Island City, NY 11106-3809 | 2007-09-20 |
| Find all providers in LONG ISLAND CITY | ||||
| City | LONG ISLAND CITY |
| Zip Code | 11102 |
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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.