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Deactivated NPI 1972835296 Deactivated / Inactive NPI Female Practitioner

Evangeline Lim Chan , RPH

Pharmacist • Bayside, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Evangeline Chan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 11, 2010
NPI Deactivation Date May 01, 2018
Total Practice Duration ~8 Years of Practice (2010 – 2018)

Professional Overview & Biography Verified Profile Summary

Evangeline Chan, RPH was a registered Pharmacist practicing in Bayside, NY. Throughout an active medical career spanning 8 years, Evangeline Chan provided care at the practice location at 21220 NORTHERN BLVD until profile deactivation on 2018-05-01.

Practice Location & Contact Primary Location

Practice Address

21220 Northern Blvd

Bayside, NY 113613342

Telephone 7182813223

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bayside, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
104 Specialists

Practicing in Bayside, NY (23779 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 0416553

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
NPI 1003687575

Doctor of Pharmacy (Pharm.D.)

NPI 1033831136

DOCTOROFPHARMACY

NPI 1043532971

Doctor of Pharmacy (Pharm.D.)

NPI 1063288371

Doctor of Pharmacy (Pharm.D.)

NPI 1073869855

Doctor of Pharmacy (Pharm.D.)

NPI 1093993255

Registered Pharmacist, Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 01, 2018

Record deactivated on May 01, 2018

NPI Profile Active February 11, 2010

NPI status registered as active in NPPES database

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Updated Practice Location February 11, 2010

Registered at 21220 NORTHERN BLVD, BAYSIDE, NY 113613342 (Tel: 7182813223)

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Updated Business Mailing Address February 11, 2010

Registered at 7143 DOUGLASTON PKWY, DOUGLASTON, NY 113621936 (Tel: 7185214239)

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Provider Name / Credentials Updated February 11, 2010

Recorded as EVANGELINE CHAN, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2010

Pharmacist (License #0416553 in NY)

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Initial NPI Registration & Enumeration February 11, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972835296
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2010
Last Update: February 11, 2010
Deactivation Date: May 01, 2018

Mailing Address

7143 Douglaston Pkwy

Douglaston, NY 113621936

Phone: 7185214239

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.